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Endoscopic Sleeve Gastroplasty

Looking for weight loss surgery in Tampa? Formation is proud to offer endoscopic sleeve gastroplasty (ESG) — an innovative, non-surgical weight loss procedure that reduces the size of your stomach and provides incredible weight loss results with no incisions or scarring.
Endoscopic sleeve gastroplasty is a revolutionary outpatient weight loss procedure that reduces the functional size of your stomach by up to 70-80%. ESG is performed endoscopically (through the mouth), which means no incisions, no scarring, and no difficult recovery for patients.
At Formation, our surgeons pair endoscopic sleeve gastroplasty with nutrition and wellness counseling, helping patients establish healthy habits post-procedure that will aid them in their lifetime journey towards a happier, healthier self.

How ESG Works

During the procedure, our surgeons use an endoscope (a small tube with a suturing device attached). The endoscope is carefully lowered down your throat and into the stomach, where it’s used to suture the stomach. The sutures change the shape of your stomach and decrease its size, limiting the amount of calories your body can absorb.

This leads to a greater sense of fullness and a decreased appetite in patients, resulting in significant and sustained weight loss over time.
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What Are The Benefits Of ESG?

Endoscopic sleeve gastroplasty has proven to be an incredibly successful form of weight loss surgery, helping patients lower their BMI and reduce their risk of several weight-related health problems, such as heart disease, stroke, sleep apnea, type 2 diabetes, high blood pressure, and osteoarthritis.

medical illustration of an endoscopic sleeve gastroplasty, showing a shrunken stomach
There are many benefits to choosing endoscopic gastroplasty over other weight loss surgeries, but our patients love ESG because:
  1. It’s minimally invasive. Endoscopic gastroplasty is performed in an outpatient setting under general anesthesia, so patients can go home same-day. No lengthy hospital stay required!
  2. It’s completely incision-free. ESG is an endoscopic procedure done completely through the mouth, so the patient is left with no exterior incisions or scarring.
  3. ESG has a quick recovery time. While more invasive procedures like bariatric surgery require extensive recovery, patients who get endoscopic gastroplasty are back on their feet quickly. Most patients are discharged within a few hours and can return to work within 1-2 days of undergoing the procedure.
  4. It’s highly effective. Most patients lose around 20% of their body weight within the first year following the procedure and can continue to sustain weight loss over the next year through diet and exercise.
Endoscopic weight loss chart
ESG is now the most effective non-surgical technique for weight loss, resulting in an average of 20% body weight decrease after one year. Although individual results may vary, the majority of individuals who undergo ESG will lose at least 70% of their excess weight. Additionally, patients have improved blood pressure, blood sugar control, and sleep apnea.
Participation in our comprehensive concierge nutritional program is the single most important factor in determining success. We are experts in guiding you on your path to achieving your health and weight loss goals.

Am I A Good Candidate
For ESG?

ESG isn’t just a quick fix for weight loss — it’s the first step in your journey toward a healthier life. In order to be eligible for endoscopic gastroplasty, patients must meet basic eligibility requirements and be willing to commit to healthy lifestyle changes post-procedure.
Your doctor may recommend ESG if:
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Surgery Duration

1 hour



Hospital Stay


Time Off Work

3 days

Endoscopic Sleeve Gastroplasty Recovery: What To Expect

Because ESG is an outpatient procedure, the recovery process is fairly simple. Our team will monitor you for a few hours post-procedure to ensure there are no complications. Patients are able to return home same-day.
You will be provided with clear diet instructions before your procedure. With guidance from your personal nutritionist, you will be transitioned to solid food over the upcoming weeks.

Try to limit physical activity for 24-48 hours after your ESG, to give your body proper time to heal. While recovery times can vary, most patients find they’re able to return to work within 1-2 days.

Schedule a consultation
At Formation we believe that health breeds happiness, and we’re proud to offer a variety of weight loss procedures that enable our patients to improve their health and feel confident in their own skin. If you’ve been struggling with your weight, contact our office today and find out if endoscopic gastroplasty is right for you.
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