Dallas Endoscopic Sleeve Gastroplasty (ESG)

Non-Surgical Weight Loss

At DFW Bariatric Institute, we are dedicated to providing weight loss options that are minimally invasive and highly effective. We are excited to offer the Endoscopic Sleeve Gastroplasty, also known as incisionless sleeve or ESG, to patients seeking non-surgical weight loss in the Dallas and Ft. Worth area. This innovative procedure promotes weight loss without any incisions, stapling, or external scarring.

How Does Endoscopic Sleeve Gastroplasty (ESG) Work?

In the ESG procedure, the patient is sedated while a bariatric surgeon utilizes an endoscope to access the stomach through the mouth. The endoscope is a flexible tube with a camera attached. The doctor then uses a special endoscopic suturing device to reduce the size of the stomach. This procedure is different from a traditional gastric sleeve, or vertical sleeve Gastrectomy (VSG) because no part of the stomach is removed. Rather, it is simply stitched to create smaller pouch. Once the available stomach space is reduced in this way, the capacity for food is lessened, which allows you to feel fuller while consuming less food. Along with smart nutritional choices and a healthy lifestyle, the ESG procedure allows you to lose weight while feeling satisfied with fewer calories.

Benefits of Endoscopic Sleeve Gastroplasty (ESG)*

  • Non-Surgical and minimally invasive
  • No incisions or external scarring
  • Quicker recovery with less pain or downtime than traditional weight loss surgery
  • May improve conditions such as diabetes, sleep apnea, and hypertension1

Am I A Candidate?

In an initial consultation appointment, one of our experienced doctors will evaluate your health and discuss your medical history and weight loss goals to help you determine if you are a candidate for Endoscopic Sleeve Gastroplasty. In general, you may be a candidate if:

  • Your Body Mass Index is over 30
  • You have not had previous weight loss surgery
  • You have tried unsuccessfully to lose weight or maintain a healthy weight through diet and exercise

ESG Results*

The Endoscopic Sleeve Gastroplasty (ESG) procedure is a powerful tool to aid weight loss. Initial medical studies show that patients typically consumed 59% fewer calories and lost up to 20% of their total body weight two years after undergoing Endoscopic Sleeve Gastroplasty (ESG)2.

Results after ESG will vary by individual, and those who commit to healthy lifestyle changes are likely to see the most weight loss success. Due to the non-surgical and minimally invasive nature of this procedure, the risk of complications is low compared to surgical options. Recovery time is also relatively quick, with patients typically returning to their regular activities within 48 hours.

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Traveling to Dallas for Endoscopic Sleeve Gastroplasty (ESG)


While we’re proud to serve the Dallas, Fort Worth, Frisco, and Arlington, Texas community, we also welcome patients from across the country. Patients often travel to the DFW Bariatric Institute to receive compassionate care from our experienced team of weight loss specialists. Endoscopic Sleeve Gastroplasty (ESG) may be well suited to traveling patients because it is non-surgical, with relatively low risk of complication and minimal recovery time.* Since patients typically resume regular activities within 48 hours of the Endoscopic Sleeve Gastroplasty (ESG) procedure, out-of-town patients may be able to complete the travel for their procedure, follow-up, and recovery within one week.

Endoscopic Sleeve Gastroplasty (ESG) Cost

Self-Pay Package $6,500 as low as $165 per month with financing*

Endoscopic Sleeve Gastroplasty Self-Pay Package Includes:

  • Surgeon’s fees
  • Bariatric University Class and materials
  • Follow up appointments for 1 year

*Does not include facility fees. Additional testing and fees may apply. The monthly payment is based on purchase price alone, excluding taxes and interest. Patients must qualify via an approved independent medical lender. Loan offers are given by independent lenders based on approved credit and not everyone will qualify. The lowest possible financing price is $165 per month for 60 months, with current lender terms and conditions for the advertised price for applicants with qualifying credit.

Financing For Endoscopic Sleeve Gastroplasty (ESG)

The Endoscopic Sleeve Gastroplasty (ESG) is not typically covered by health insurance. However, at DFW Bariatric Institute, we are committed to putting better health within reach. We partner with independent medical lenders to offer financing options for our patients.

Payment Options

Life After Endoscopic Sleeve Gastroplasty (ESG)

For the weeks following the Endoscopic Sleeve Gastroplasty (ESG) procedure, patients will follow a detailed diet provided by their doctor. While the Endoscopic Sleeve Gastroplasty (ESG) is an effective means to kickstart weight loss, it is important that patients commit to healthy lifestyle changes in order to optimize and maintain weight loss success. The pillars of a healthy lifestyle include:

  • Nutrition You’ll consume fewer calories, so it is important to choose nutrient dense, healthful foods. Planning meals in advance can help you maintain a healthy diet.
  • Exercise Staying active is an important part of a healthy lifestyle. Find a fitness routine that you enjoy and commit to working out consistently.
  • Support Seeking out support groups, either in person or online, can help you stay accountable to your goals and feel like part of a community.
  • Inspiration Follow the DFW Bariatric Institute on Facebook, Instagram, Pinterest, and through our email newsletters for recipes, fitness tips, and motivation.

Contact Us to Kick-Start Weight Loss Today

1 Clinical Gastroenterology and Hepatology April 2017 Volume 15, Issue 4, Pages 504–510
2 Abu Dayyeh BK, Acosta A, Camilleri M, et al. Endoscopic sleeve gastroplasty alters gastric physiology and induces loss of body weight in obese individuals. Clin Gastroenterol H. 2016. doi:10.1016/j.cgh.2015.12.030

Patient Testimonials


Janet S.

Lost 93 pounds*

"93 pounds later, I have a whole new life. I’ve gone from a size 24 down to 10-12. I no longer have high blood pressure or high cholesterol. My knees, which were in sad shape before surgery, don’t hurt anymore. I joined a gym and participate in water aerobics and a latin impact aerobics class. My whole life has changed. I have much more confidence in myself and love to be with people."

Erlinda N.

Lost 120 pounds*

“I have experienced incredible changes in my life after losing over 120 lbs with weight loss surgery. I no longer have high blood pressure. I also no longer have sleep apnea or have to use a CPAP machine. I take a yoga class, walk, swim, and have a new passion…golf. I’m having a blast! I’m looking forward to going to a water park for the first time ever and having adventures I never thought possible. I am so happy that I took this life changing step and highly recommend DFW Bariatric Institute.”

Vivian P.

Lost 140 pounds*

“First off….this surgery will give you your life back. It is a total life changing surgery and I feel like I owe DFW Bariatric my life since they restored mine to me. My weight ballooned up to 273 lbs before my surgery. I have successfully lost and maintained a 140 lb weight loss… This is the most amazing journey that anyone could ever take and the DFW Bariatric Institute staff will all be there to hold your hand and lead you down the road to your success.”

Sherrie M.

Lost 110 pounds*

“I am currently 29 years old and weigh 130 lbs. Before surgery I weighed almost 240 lbs…This is the best thing I have done with my life and would do it again today. It changed my life drastically. My surgeon said to me, 'I can do 50% for you and give you the surgery, but the other 50% is up to you. Your eating, your exercise, your total outlook on life make up the other 50%. And what you want from the surgery is what you will get, and the life you will gain.'”

John E.

Lost 90 pounds*

“I went to a seminar and left there with complete ease, feeling like everyone cared about me and my health. On first office visit I was totally impressed…I never felt rushed in the office, and always felt everyone cared. My surgery was completed and I am now down 90 pounds…The biggest part of recovery comes from the encouragement DFW Bariatric gives. Everyone is always positive and takes the time to explain things in a positive way.”

Kathy D.

Lost 161 pounds*

“There are no words to express the amount of change that weight loss surgery has brought to my life. I am a 54 year old female. There were so many things I was unable to do before the surgery that I blamed on age. It wasn’t my age at all, it was the weight. I am 30 again…The day of my surgery, I weighed 299 pounds. Today I weigh 138 and wear a size 6…I feel so good about myself now. The surgery saved my life!”

Brian S.

Lost 130 pounds*

“After losing 130 pounds, I feel like I have a new lease on life. I was able to stop all of my diabetes, high blood pressure, and my cholesterol medicines. I have always had chronic knee problems and now I am able to run three miles per day without any pain. If I had a choice of doing this surgery again or not, I would definitely do it again. I feel that by having the surgery it not only gave me my life back but it also saved my life.”

Lorna Q.

Lost 107 pounds*

"I have lost the astonishing amount of 107 pounds in less than a year. I feel like I have my life back and I am in control again. All my family and friends are always telling me that I look happier than before and they are right, I am much, much happier than before. I have to thank DFW Bariatric and my husband for helping me throughout this very emotional and amazing journey. I do not regret at all having the surgery, it is one of the best decisions I have ever made in my life.”

Danielle L.

Lost 154 pounds*

“My outlook on life was so different before having my weight loss surgery. I was taking medicine for diabetes, high blood pressure, and depression, and my back, legs, and shoulders hurt all the time which kept me from sleeping. My start weight was 298 pounds. And I am now 144. I’m no longer on any type of medications. My body is the best shape I have ever been in. I am so happy to be where I am today mentally and physically. With my hard work and dedication and with the aid of DFW Bariatric, I am where I want to be. I trust this team with all my heart.”

Dennis H.

Lost 170 pounds*

“At 365 pounds, I was medicated for high blood pressure, diabetes, joint inflammation, and high cholesterol…I was a living example of morbid obesity. I knew then that it was time to do something with my weight…It was not easy to get through all of the hoops that my health plan demanded, but the DFW Bariatric team helped me every step of the way. Today I weigh 195 pounds and feel great! From the time I left the hospital after surgery I have been free from all prescription medications. I can never thank this team enough for giving me back my life."