Woman tucking her hair behind her ear

For patients who want meaningful weight loss results without the commitment of traditional bariatric surgery, Endoscopic Sleeve Gastroplasty offers a compelling alternative. At Obesity Control Center in Tijuana, Mexico, this cutting-edge procedure is performed by a world-renowned bariatric team with over 50 years of combined experience and more than 25,000 successful procedures to their name.

What Is Endoscopic Sleeve Gastroplasty?

Endoscopic Sleeve Gastroplasty, or ESG, is a non-surgical weight loss procedure that reduces the stomach's capacity without any incisions or scarring. Rather than cutting or removing stomach tissue, a physician uses an endoscopic suturing device to place strategic sutures from the inside, reshaping the stomach into a narrow, sleeve-like structure that holds significantly less volume than before.

The entire procedure is performed through the mouth under general anesthesia, with no external incisions involved. Because of this, patients can be discharged the same day; in some cases, having the procedure on a Friday and returning to work by Monday.

Who Is a Good Candidate?

ESG is designed for patients with a BMI between 25 and 35 who do not qualify for traditional bariatric surgery or who prefer a non-surgical approach. It is not intended for morbidly obese individuals, as those with higher BMIs are unlikely to achieve the full benefit of the procedure.

Candidacy is determined on a case-by-case basis during a private consultation with the OCC team. Good candidates are those committed to pairing the procedure with a healthy diet and exercise routine tailored to their specific goals.

Benefits of the Endoscopic Sleeve

Patients choose ESG for a number of reasons beyond the obvious appeal of avoiding surgery:

  • No incisions, no scarring, and no cutting of stomach tissue
  • Ambulatory procedure with same-day discharge
  • Fully reversible
  • Supports weight loss and appetite control
  • Accessible for patients who do not qualify for bariatric surgery

What to Expect After the Procedure

Recovery from ESG is straightforward. Patients spend a few hours in the recovery suite before being discharged the same day. Initial aftercare includes a soft food and liquid diet while the body adjusts to the reduced stomach volume. Overeating after the procedure will cause discomfort, which naturally reinforces portion control over time.

OCC provides careful monitoring throughout recovery to ensure optimal outcomes, along with a comprehensive five-year follow-up program that is included in the cost of care.

Managing Expectations for Results

OCC's commitment to patient integrity means being transparent about what ESG can and cannot achieve. Weight loss with the endoscopic sleeve is typically around 50% of excess weight, compared to 70 to 80% with a traditional gastric sleeve. That said, even a 10% reduction in total body weight is associated with meaningful improvements in conditions like type 2 diabetes, hypertension, and high cholesterol. For many patients, those health gains are life-changing.

Why Choose Obesity Control Center?

OCC is one of the few internationally accredited bariatric centers in the world, holding Joint Commission International certification and a Gold Seal of Approval. Every ESG procedure includes pre-op testing, anesthesia, post-op care, transportation, medications, and five years of follow-up support, all starting at $6,800.

If you are ready to explore whether Endoscopic Sleeve Gastroplasty is the right fit for your goals, contact the OCC team today to schedule your private consultation.


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