Endoscopic Sleeve Gastroplasty (ESG)
Weight Loss Without Surgery
ESG is a revolutionary, minimally invasive weight loss procedure that reduces your stomach size by approximately 70-80% without any incisions.
Using an endoscope inserted through your mouth, your surgeon places sutures in your stomach to reduce its size. This creates a sleeve-shaped stomach that limits food intake and helps you feel full longer.
The procedure is performed through your mouth—no external incisions needed.
Six to eight sutures reduce stomach capacity by 70-80%.
Combined with lifestyle changes, achieve an average 13.6% total body weight loss at one year.
Unlike traditional surgery, ESG leaves no scars. The entire procedure is performed endoscopically through your mouth.
Most patients go home the same day and return to their normal routine within 2-3 days.
Over 25,000 ESG procedures performed worldwide with an average 13.6% total body weight loss at one year.
Fellowship-Trained Robotic & Bariatric Surgeon
Dr. Wanda Good is a highly experienced and compassionate surgeon specializing in metabolic, bariatric, anti-reflux, and robotic surgery. She is committed to providing comprehensive surgical care through education and collaboration with both English and Spanish-speaking patients.
10+ years as Medical Director of nationally recognized bariatric program
Fellowship-trained in Minimally Invasive & Robotic Surgery at University of Arizona
Chair of Department of Surgery and Director of Robotic Surgery
Bilingual care in English and Spanish
Your questions answered
ESG is performed endoscopically through your mouth with no external incisions, while gastric sleeve surgery requires multiple incisions in your abdomen. ESG offers a faster recovery, same-day discharge, and no visible scars, making it a less invasive alternative with similar weight loss results.
Most ESG patients go home the same day of their procedure. You’ll be monitored for a few hours after the procedure and can typically return home once you’re comfortable and stable.
The most common side effects are gastrointestinal symptoms such as nausea, abdominal pain, vomiting, constipation, or burping. These symptoms are typically mild and resolve within 30 to 60 days as your body adjusts.
ESG is typically not covered by insurance, but it is FSA/HSA-eligible. We offer free insurance evaluations and can help you explore financing options that work for your situation. Our team will work with you to find the best solution.
Clinical studies show an average of 13.6% total body weight loss at one year when ESG is combined with diet and lifestyle changes. Individual results vary, and 68% of patients maintain 25% excess body weight loss at 24 months with continued healthy habits.
Schedule your consultation with Dr. Wanda Good
