Endoscopic Sleeve Gastroplasty (ESG)

The minimally invasive weight loss procedure – without cuts, scars or surgical removal

Endoscopic Sleeve Gastroplasty cost & info

Looking for a long-term weight loss solution but hesitant about surgery?
Endoscopic Sleeve Gastroplasty (ESG) is a modern, minimally invasive procedure where the stomach is reshaped from the inside using an endoscope equipped with a suturing device. No external incisions are made. Instead, the stomach is folded and stitched to reduce its volume by up to 70%.
This reduced size leads to earlier satiety, smaller portions, and long-term weight loss – all without disrupting the normal digestion process.

In short:

Endoscopic Sleeve Gastroplasty is a surgical procedure that involves you losing significant weight without surgery.

Done under light anesthesia by a team of experienced doctors

Length of hospitalization: 1 night (included)

Minimum required stay abroad: 6 days

Waiting time: none / very short

Trustpilot rating (by UK & EU patients): 4.8/5. Top Clinic in Lithuania, EU

All-included cost: €8300 (see price table below)

Possible refund from your local health board: yes (only pay for the flight from your own pocket)

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Check our patients’ testimonials at the bottom of the page.

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Why choose ESG?

Minimally invasive – no scars, no surgical cuts

Preserves stomach anatomy and function

Same-day discharge – short recovery

Low complication rate

No need for lifelong supplements

Reversible & adjustable

Clinically proven results – up to 20% weight loss in the first year

ESG has been endorsed by international societies such as IFSO, ASGE, and NICE as a safe and effective treatment for Class I–III obesity, especially for those not eligible or unwilling to undergo bariatric surgery.

Who is ESG suitable for?

This procedure is ideal for patients who:

Have a BMI of 30 or higher

Have not achieved desired results with diet, exercise or medication

Want to avoid surgical risks and permanent anatomical changes

Are motivated to adopt healthy lifestyle changes post-procedure

Not sure if ESG is right for you? Our experienced medical team will guide you through the assessment process during a free, no-obligation consultation.

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ESG vs Gastric sleeve comparison

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Gastric sleeve FAQs

ESG procedure step by step

Initial consultation & assessment

We’ll review your medical history, weight loss goals and determine if ESG is suitable for you.

The ESG procedure

  • Performed under sedation or light general anaesthesia
  • Takes approx. 45–60 minutes
  • No incisions or external wounds
  • You can typically return home the same day

Recovery

  • Most patients resume light activity in 2–3 days
  • Back to normal routines within a week
  • Mild bloating or cramping may occur in the first days

Follow-up & long-term results

Ongoing nutritional and lifestyle support is provided to help you maintain weight loss and maximise results.

How much weight can I lose with ESG?

Studies show that patients lose 15–20% of their total body weight in the first year. Some patients maintain this weight loss for 5+ years.

Why do people go for surgery / other medical procedures abroad?

Patients go for medical services abroad for multiple reasons. Main ones being:

  • There are no (or very short) waiting lines for bariatric surgeries
  • Individual attention from the surgeons
  • Recommendations from previous patients, friends, or family
  • Top-quality service for affordable prices
  • Possibility for a refund from your local health board

Read/watch reviews of our previous patients below.

Why is ESG cost lower in your clinic?

Our clinic is not based in the center of Stockholm or London and does not have to pay eye-watering rents. We also work with a limited number of patients and do not waste massive sums on marketing. Therefore, you pay only for the procedure & world-class rehabilitation (and not for an expensive location or advertising on TV or on the tube).

At the same time, you get an all-inclusive package (making your travel stress-free) when booking with us.

Is it safe?

Getting the surgery abroad involves similar risks as getting the surgery at home. For that reason, we recommend always check the following:

  • The surgeons and their credentials. Preferably, ask for an online consultation to meet your surgeon before going abroad
  • What do the previous patients say about the clinic and their experience
  • Whether you will be insured

Never base your decision on the price alone.

Can I get a refund from my local health board?

You can have your surgery done for free by claiming a refund from your local health board. We are helping patients with the documentation needed in order to claim a refund after following the EU directive route for medical treatment abroad. Patients usually choose this route because of the long waiting list in their country of origin.

How soon can I travel back home after ESG?

Most of the patients can travel back 6-8 days after the procedure.

For your flight back it is advisable to get special assistance to help to get in/out of the plane. The service is freely provided by the airports/airlines.

Is ESG painful?

The procedure is performed under sedation. Most patients feel only mild discomfort, such as bloating, during the first couple of days.

How soon can I return to work?

Most people are back to normal activity within 3–5 days.

Will I need a special diet after ESG?

Yes, a structured diet is recommended in the first weeks. You’ll receive personalised guidance from our nutrition team.

What exactly is included in the package?
  • Everything for the treatment, anesthesia, 1 night of hospitalization;
  • Diet instructions after bariatric procedure
  • FREE dietitian follow-up
  • Needed consultations, and medical tests;
  • Finding the best airplane ticket deals and hotel options;
  • Meeting at the airport, personal driver within Lithuania;
  • 24/7 assistance in Lithuania;
  • Special discount for plastic surgery later (if needed)
Want to learn more?

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The prices given below are exact (without hidden costs). Many other clinics increase their initial prices.

Endoscopic Sleeve Gastroplasty abroad costs (all-inclusive)

Endoscopic Sleeve Gastroplasty

€ 8300

Gastric sleeve

€ 5900

Gastric bypass

€ 5900

Gastric band

€ 4100

Gastric plication

€ 3600

Bikini Line Gastric Sleeve

€ 6400

Gastric balloon

€ 3800

we help our patients with the documentation needed to claim a refund after following the EU directive route for medical treatment abroad

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every result is individual. We put our utmost care to ensure that the patient is happy with it.

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Note: the prices are all-inclusive.

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SPECIAL OFFER. Register before the end of the summer and pay only €5475! for gastric sleeve

Get a €425 discount when booking gastric sleeve surgery and receive 4 night hotel stay after the operation! What's left for you is to enjoy a quality treatment at an affordable price!

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