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.
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Clinically-proven efficacy
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Authorized by FDA
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“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
“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
“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
“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
“I appreciate that Bariendo's team is with you every step of the way!”
Cenedra
“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
“I honestly feel so much better already and wouldn't change my decision for the world.”
Ciaralyn
“Since day one, the Bariendo team has always been there when needed. ”
Jaybe
“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
“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
“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
“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
“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
“The entire team, the clinic, and especially patient navigator have been very professional and knowledgeable. ”
Doris
“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
“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
“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
“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
“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
“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
“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
“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
“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
“I am 49 pounds lighter, my health has improved, I sleep better, and my relationship has improved.”
Eduardo
“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
“From 256 to 199 pounds, the ESG Stomach Tightening was the significant change in my life.”
Javier
“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
“The doctors and nutritionists care about you, give you the best advice, and they are there for you”
Rey
“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
“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
“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
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
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
ESG vs. other weight loss solutions
| 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.

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.