pixel Skip to Main Content
Everself Everself

ESG Stomach Tightening®
Your path to lasting weight loss.

Through our non-surgical endoscopic method, we reduce your stomach size in a single visit, creating a physical and physiological foundation for lasting weight loss.

Am I a candidate?

Stomach reduction by 60-75%.
Approximately 8 sutures are placed to create ESG Stomach Tightening. The sutures create internal folds that reduce the stomach’s size by 60-75%. With your newly reduced stomach size, you’ll feel full more quickly and for longer periods.
Non-surgical. No scars.
Performed under anesthesia, an endoscope is inserted through your mouth into your stomach. The procedure leaves no scars.
Quick recovery.
You can go home on the same day. Most patients take 1-3 days off work.

A 60-minute procedure. Life-lasting transformation.
No injections needed.

  • Clinically-proven efficacy

  • Authorized by FDA

Important Safety Information

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi.

Neque porro quisquam est, qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit, sed quia non numquam eius modi tempora incidunt ut labore et dolore magnam aliquam quaerat voluptatem. Ut enim ad minima veniam, quis nostrum exercitationem ullam corporis suscipit laboriosam, nisi ut aliquid ex ea commodi consequatur. Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem eum fugiat quo voluptas nulla pariatur.

Alt text for Image
16%
5-year post-procedure weight loss
20%
1-year post-procedure average weight loss1
24%
Average weight loss when combined with medications2
10+ years
the effects of the ESG procedure have been proven to last for at least ten years and likely even longer

Setting the standard in permanent weight loss

Description Everself ESG Generic ESG

Providers certified by the pioneers who created ESG

True False

Precision suturing for optimal results and durability

True False

Average sutures per procedure

7-9

2-4

12-month concierge care by the number of touchpoints

18-24

1-6

Integrated weight care Rx management (excluding medication cost)

True False

Lessons from the physicians & care team behind ESG

Go deeper

Improved eating behaviours

With stomach size reduced by 60-75%, studies show ESG significantly improves three key areas: cognitive restraint (better control), emotional eating patterns, and uncontrolled eating episodes.

Improved eating behaviours

50 minutes longer fullness

Research indicates that ESG Stomach Tightening® extends the time food takes to pass through your stomach ("gastric emptying") by 50 minutes, helping you feel full for a longer period.

50 minutes longer fullness

Increased satiety hormones

Studies confirm ESG boosts hormones like GLP-1 and PYY that signal fullness, while reducing ghrelin (the hunger hormone)—creating natural appetite control at the hormonal level.

Increased satiety hormones
“Nothing is easy, but with this level of care and commitment, you're set up for nothing but success. ESG has changed my whole lifestyle; you can do it too! ”

Helen

Lost 63 lbs 26% weight loss
“If you stick to the plan and talk to your support team (dietitian and nurse), you will lose weight. For me, it was slow and steady, and I wouldn't want it any other way. One of the best decisions I have made! ”

Trish

Lost 41 lbs 17% weight loss
“After conducting some online research, I came across the Bariendo site, and from that moment, my life changed forever. From the initial call to the Bariendo team to my consultation with the doctor and post-recovery care, the Bariendo team was absolutely extraordinary.”

Joey

Lost 43 lbs 14% weight loss
“From the first call I made to now, the doctors and staff have given me top-notch care and coaching. I feel at least 10 years younger!”

Karen

Lost 29 lbs 15% weight loss
“I appreciate that Bariendo's team is with you every step of the way!”

Cenedra

Lost 38 lbs 12% weight loss
“My debilitating fatigue is no more, and I have energy not just to make it through my day, but to thrive. I have the energy and physical capability to play with my kids, rather than just being a bystander. I am now looking forward to my 40s and being my healthiest, most authentic self. ”

Lacy

Lost 30 lbs 11% weight loss
“I honestly feel so much better already and wouldn't change my decision for the world.”

Ciaralyn

Lost 56 lbs 13% weight loss
“Since day one, the Bariendo team has always been there when needed. ”

Jaybe

Lost 32 lbs 12% weight loss
“In just three months, I’ve shed 22 pounds and feel fantastic. Beyond the weight loss, I've experienced remarkable improvements in my overall health—my eczema has disappeared, and I no longer suffer from the acid reflux that plagued me for years.”

Nichole

Lost 22 lbs 14% weight loss
“I already feel so much better, especially my knees and feet! If you are like me and have struggled with your weight for most of your life, you will wish you knew about Bariendo sooner!”

Caroline

Lost 51 lbs 22% weight loss
“I am proud of my decision and what I achieved! I have no hip or knee pain, and my energy is great. I am more present with my husband’s needs. At my job, I am willing to work extra hours because I’m 30 pounds lighter since my procedure. It’s a huge difference! The other day, my husband said I was happy! And yes, I am back, I am truly happy! I encourage people to consider ESG and Bariendo!”

Susana

Lost 27 lbs 14% weight loss
“I would recommend ESG to anyone who is thinking about the procedure. I only took three days off and then went back to work—carefully, of course. The guidelines were easy to follow, and the results are terrific and easy to maintain.”

Debra

Lost 48 lbs 26% weight loss
“The Bariendo team, from before my procedure to today, has been very attentive and concerned about my progress and well-being. I recommend Bariendo! ”

Hernando

Lost 59 lbs 24% weight loss
“The entire team, the clinic, and especially patient navigator have been very professional and knowledgeable. ”

Doris

Lost 36 lbs 14% weight loss
“Finding Bariendo was the best thing I ever did for myself. The follow-up is incredible, with regular visits with their staff and nutritional support. They don't just drop you after the procedure.”

Marcia

Lost 29 lbs 9% weight loss
“The ESG procedure has truly transformed my life. I am so grateful to Dr. Ali Abbas and the Bariendo team for their exceptional care and support throughout this journey. ”

Natalie

Lost 42 lbs 22% weight loss
“I’m in love with myself again; I have more energy, and I feel healthier and happier with myself. And you could not get a better support team, from the bariatric specialist, your personal doctor, your dietitian, coach, and even a support group that won't let you fail! Best decision ever!”

Diana

Lost 30 lbs 20% weight loss
“What stood out the most during my experience with Bariendo was the exceptional level of care and support provided by the entire team. They made me feel comfortable and informed every step of the way, greatly easing my concerns. ”

Amelia

Lost 51 lbs 26% weight loss
“All I can think is that I would have liked to do this long ago! It has had a very positive impact on my life because it keeps me motivated to improve my habits and challenge myself for more.”

Angelica

Lost 24 lbs 14% weight loss
“My only regret is that I didn’t have this procedure earlier. I was a size 12, and now I can fit into a size 8.”

Candy

Lost 28 lbs 16% weight loss
“The amount of attention by Bariendo's team has been outstanding, and it still is. I had the procedure done with absolutely no regrets. The results have been amazing for me.”

Oscar

Lost 59 lbs 17% weight loss
“I feel like this time, I’ve been given the tools to succeed that will work for me for the rest of my life. Bariendo gave me the recipe/formula for a successful weight loss journey. My stomach is smaller, so I’m satisfied much quicker and that is SUPER helpful.”

Lisa

Lost 42 lbs 15% weight loss
“The procedure date was just four weeks after that first call, and everyone was very professional, efficient, reachable, and the procedure was easy to tolerate - I didn't experience any pain.”

Patricia

Lost 30 lbs 16% weight loss
“I am 49 pounds lighter, my health has improved, I sleep better, and my relationship has improved.”

Eduardo

Lost 49 lbs 15.5% weight loss
“What I loved the most about Bariendo is that they have been so helpful throughout the entire ordeal and have not ever left me alone.”

Cesar

Lost 27 lbs 11% weight loss
“From 256 to 199 pounds, the ESG Stomach Tightening was the significant change in my life.”

Javier

Lost 57 lbs 23% weight loss
“For the first time in my life, I'm able to experience the feeling of fullness and satisfaction. What they did to my stomach is truly magical! Bariendo saved my life.”

Nicole

Lost 109 lbs 44% weight loss
“The doctors and nutritionists care about you, give you the best advice, and they are there for you”

Rey

Lost 30 lbs 14% weight loss
“Thanks to the Bariendo Group’s holistic approach and dedicated care, I’ve embarked on a successful weight loss journey, losing 30 lbs and moving confidently towards my goal.”

Andy

Lost 30 lbs 12.9% weight loss
“I would recommend the ESG procedure from Bariendo to anyone. It was the right decision for me. Dr. Thompson and the entire team is amazing.”

Gwendolyn

Lost 30 lbs 11% weight loss
“It was not an easy decision to make. For me it is by far the most positive life changing action I could have taken. It requires daily commitment, discipline and a call to be brave enough to want to not just change your life, but in many cases like mine, help save your life. I have so much more energy and my general health and wellbeing has improved exponentially.”

Kevin

ESG Stomach Tightening®
Your path to lasting weight loss. patient
“I can keep up with my nine grandchildren and I just feel great. It’s so easy for me to keep in control of my food intake. it’s been a lifesaver, life-changing for me. I’m so glad I did it.”

Doreen

ESG Stomach Tightening®
Your path to lasting weight loss. patient
“After losing 50 lbs on the ESG journey with Dr. Jirapinyo, I now sleep better, have more energy to run and stay fit, and feel like a completely new person.”

Glorimar

Lost 53 lbs 29.7% weight loss

ESG vs. other weight loss solutions

Weight loss solution comparison
ESG Stomach Tightening® Gastric Balloon Bariatric Surgery Gastric Bypass or Sleeve Gastrectomy Semaglutide Ozempic and Wegovy
Types of intervention
Non-surgical. No hospitalization required
Non-surgical. No hospitalization required
Surgery. At least 1 night at hospital
At-home weekly injections
Average weight loss at 12 months
20%
10%
25-30%
15%
Long-term efficacy
Durable outcomes. Average of 16% weight loss sustained 5 years after ESG 13
Significant weight regain after 12 months 14
Durable outcomes 15
Significant weight regain after discontinuing use. Most gain ⅔ of their lost weight within 1 year 16
Commitment
60-min procedure. 1-3 days off work
15-min procedure. 1-3 days off work
1-3 days of hospital stay. 2-4 weeks off work
Weekly adherence required
Major complications
Rare (<2%)
Rare (<2%)
10-20%
Rare

Is ESG Stomach Tightening right for me?

Flexible financing options that work for you

$12,995

Although ESG procedures are currently not covered by health insurance, flexible monthly payments are available through our financing partner, Cherry. Start your program today, with a plan that works for your budget.

Check eligibility

What's included:

  • ESG Stomach Tightening Procedure
  • Comprehensive metabolic lab test
  • 12-month Personal Care Team: clinician, dietitian, health coach
  • Smart scale and patient app access
  • Post-operative 24/7 clinical on-call support
  • Support groups
  • Integrated weight loss prescription management
    (medications not included)

Frequently asked questions

How long does endoscopic sleeve gastroplasty (ESG) take?

The procedure itself takes approximately 60 minutes. However, you should plan on spending about half a day with us including preparation and recovery.

What is recovery like after endoscopic sleeve gastroplasty (ESG)?

Patients go home on the same day. Most take a few days off to recover at home before returning to work. After the procedure, patients follow a full liquid meal plan, which includes protein shakes and similar products, then transition to a soft diet, which includes easy-to-eat foods such as oatmeal and bananas, and then return to regular eating.

Is endoscopic sleeve gastroplasty (ESG) reversible?

Your doctor can use one of three available suturing or plication devices to perform ESG/EGP. ESG can be reversible, while EGP is typically not. If this is important to you, you should discuss this with your provider prior to the procedure.

How does ESG compare to endoscopic gastric plication (EGP)?

Endoscopic sleeve gastroplasty (ESG) folds your stomach outward, while endoscopic gastric plication (ESG) folds your stomach inward. This is why ESG can be reversible and EGP is typically not. Additionally, some stomachs, depending on their shape and size, may respond better to a specific device. Having access to all three suturing and plication devices allows your doctor to tailor the procedure for best results.

How does ESG compare to sleeve gastrectomy?

Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, sleeve gastrectomy is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.

How does ESG compare to gastric bypass?

Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, gastric bypass is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.

How much does endoscopic sleeve gastroplasty cost?

An endoscopic sleeve gastroplasty (ESG) procedure costs $12,995, which includes 12 virtual visits with your Bariendo healthcare team. Financing options are available. Learn more about our pricing and financing options.

Is endoscopic sleeve gastroplasty covered by insurance?

Unfortunately, insurance does not cover endoscopic weight loss procedures yet. However, we offer several financing options. Learn more about our pricing and financing options.

Bariendo is now Everself.

Since pioneering ESG at Harvard over a decade ago, we've helped thousands achieve life-changing, long-lasting weight loss. Our new name and brand reflect what we've always stood for: helping you become ever healthy, ever confident, ever yourself.

Enter Site