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Endoscopic Sleeve Gastroplasty Cost & Pricing

Competitive Pricing So You Invest in Your Health Today

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*Cost of actual weight loss medication is not included and will depend on insurance coverage.

Financing Available for Competitive Weight Loss Pricing

While the weight loss procedures we offer provide major health benefits beyond weight loss, they are not currently covered by insurance. However, we do offer financing:

Which Weight Loss Procedure is Right for You?

Choosing a weight loss procedure can be difficult, but The Silhouette Clinic is here to simplify the process. Below is a detailed breakdown of our procedures to help you make a confident, informed decision.

Orbera Balloon

The Orbera Gastric Balloon is a non-surgical procedure ideal for those seeking a less invasive weight loss solution. The process involves the endoscopic placement of a silicone balloon into your stomach, which is then filled with saline to occupy space, encouraging a feeling of fullness. After about six months, the balloon is deflated and removed. The Orbera Gastric Balloon is typically less expensive than the endoscopic sleeve gastroplasty cost, making it an affordable yet effective weight-loss alternative.

Benefits of an Orbera Gastric Balloon

  • Non-surgical, less invasive weight loss solution.
  • Ideal for individuals with lower BMI seeking help to kickstart their weight loss journey.
  • Occupies space in the stomach to control portion sizes.
  • Results typically include significant weight loss during the six-month period the balloon is in place.
  • Fosters lasting lifestyle changes to maintain weight loss over time.


Bariatric Revision

Sometimes, weight loss surgeries may not yield the desired results or patient may experience weigth regain. In such cases, bariatric surgery might be recommended. These procedures aim to correct or improve the results of a primary weight loss surgery. The exact process will depend on your previous surgery and specific needs. Endoscopic bariatric revision is less complex and lower in price compared to surgical revisions., Bariatric revision can effectively address weight regain after the primary bariatric procedure.

Benefits of a Bariatric Revision

  • A viable option for those who have regained weight after an initially successful surgery.
  • Can lead to improved weight loss, better management of weight-related co-morbidities.


Spatz3 Balloon

The Spatz3 Adjustable Gastric Balloon is an innovative weight loss solution that offers the unique ability to adjust balloon volume to optimize weight loss and minimize discomfort. Similar to the Orbera Balloon, the Spatz3 Balloon is inserted endoscopically, but it is removed after eight months. When considering the gastric sleeve surgery price, you’ll find that the cost of the Spatz3 Balloon procedure is usually less, making it an attractive option for many seeking weight loss solutions.

Benefits of a Spatz3 Balloon

  • A non-surgical, adjustable weight loss solution.
  • Volume adjustments balance comfort and effectiveness.
  • Ideal for those concerned about adapting to a gastric balloon.
  • Results in significant weight loss over the eight months the balloon is in place.
  • Supports lasting lifestyle changes to promote weight maintenance, similar to the Orbera Balloon.



Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive procedure that reduces the size of the stomach using endoscopic suturing. The ESG procedure cost reflects the advanced technique involved, which includes folding and suturing the stomach to make it smaller, promoting long-term weight loss. The endoscopic sleeve gastroplasty price tends to be higher than balloon procedures, but when considering its effectiveness and long-term impact, it’s less expensive than traditional bariatric surgery.

Benefits of Endoscopic Sleeve Gastroplasty

  • A more permanent, non-surgical weight loss solution.
  • Particularly beneficial for those with higher BMIs or those who wish to avoid traditional bariatric surgery.
  • Results in substantial, long-lasting weight loss.
  • Often leads to improvements in weight-related health conditions due to a permanent alteration to the stomach size.


ESG-Select Package

Our ESG-Select Package takes a comprehensive approach to weight loss, combining the ESG procedure with a personalized weight management plan. This package includes dietary counseling, regular follow-ups, and support to ensure the most effective results. The package includes transportation to and from the airport, as well as hotel stay and post-procedure hydration. While the ESG-Select Package costs more than the standalone ESG procedure, its holistic approach provides excellent value particularly for patients traveling to The Silhouette Clinic for their procedure.

Benefits of an ESG-Select Package

  • A comprehensive approach to weight loss that pairs the ESG procedure with dietary counseling, regular follow-ups, and a personalized weight management plan.
  • Not only provides significant weight loss from the ESG procedure but also equips you with skills and habits for long-term weight management.
  • Promotes overall wellness through a holistic approach.
  • Alleviates the stress of travel by taking care of planning, transportation, and hotel stay.


Medical Weight Loss

Medical weight loss is a customized program managed by our healthcare professionals. This approach, focusing on diet, exercise, and behavior modifications, is often complemented by FDA-approved weight loss medications. While medical weight loss involves no surgical procedures and is less costly compared to the endoscopic sleeve gastroplasty cost, it requires a significant commitment and regular follow-ups to ensure effective results.

Benefits of a Medical Weight Loss Package

  • Ideal for those who prefer a non-surgical approach or have less weight to lose.
  • Suitable for individuals with health conditions that make surgical interventions risky.
  • Emphasizes sustainable lifestyle changes, leading to a steady, healthy weight loss pace.
  • Provides tools and support to maintain progress over the long term.


We’re In It Together

At The Silhouette Clinic, your weight loss journey is our priority. We understand the unique challenges of this journey, and our team is dedicated to providing you with the necessary guidance and support. Our weight loss solutions are designed to suit diverse needs and budgets. With us, you are never alone in your path toward a healthier, happier you.
Ready to start your transformation? Contact us today to schedule a consultation.

Weight Loss Procedure Cost: FAQs

Does insurance cover endoscopic sleeve gastroplasty?

While the endoscopic sleeve gastroplasty cost varies, the endoscopy price, in the USA particularly, also relies heavily on insurance coverage and whether this is performed at a hospital or an outpatient surgery center. At this point in time, the endoscopic sleeve gastroplasty is not covered by insurance. However, this will hopefully change with time. We recommend contacting your insurance company directly to determine if they provide coverage for this cost.

What is the most effective type of weight loss procedure?

The effectiveness of a weight loss procedure depends on various factors, including the individual’s health, weight, lifestyle, and commitment to maintaining the results. Surgical procedures such as gastric sleeve surgery often yield significant weight loss, but non-surgical options like ESG or gastric balloons can also be effective when combined with lifestyle changes.

What is the most affordable type of weight loss procedure?

Non-surgical options are usually less expensive than bariatric surgery. More affordable non-surgical options include procedures such as the Orbera Balloon, Spatz3 Balloon, medical weigth loss programs, or endoscopic sleeve gastroplasty. Cost, however, is just one factor to consider, and the most suitable and cost-effective procedure will ultimately depend on your unique needs and health status.

How long does endoscopic sleeve gastroplasty last?

ESG is a permanent procedure, which means the stomach, once reshaped, remains in its new size and shape long term, contributing to sustained weight loss.

What is the average cost of bariatric surgery?

The cost of bariatric surgery varies greatly depending on the specific procedure, geographic location, and whether or not insurance covers part of the cost. In general, the out-of-pocket cost can range from $15,000 to more than $25,000. Non-surgical weigth loss procedures are more affordable. Please consult with our team for a more precise estimate.

How much does a gastric sleeve cost in Virginia?

The cost of a gastric sleeve surgery in Virginia varies but can range from $15,000 to $25,000. This estimate may not include associated costs like pre-operative tests, follow-ups, or potential complications. While ESG is not covered by insurance yet, insurance may cover a portion of the endoscopic gastric sleeve cost, so it’s important to check with your provider.

What is the recovery process like after an endoscopic sleeve gastroplasty (ESG)?

Recovery after an ESG procedure is typically quicker and less painful than surgical weight loss methods. Patients can go home on the same day of the procedure. You might experience some discomfort or nausea for the first few days, but these symptoms can be managed with medications. Following a liquid diet for a couple of weeks after the procedure is advised, slowly transitioning to soft foods, and, eventually, a normal diet under your healthcare team’s guidance.

Can I still eat normally after an ESG or balloon procedure?

While you can eat a wide variety of foods after your ESG or balloon procedure, your eating habits will need to change. Because these procedures reduce the size of your stomach, you’ll likely feel full more quickly, and your portion sizes will need to be smaller. Following a healthy, balanced diet is essential to ensure you get the nutrients you need while promoting weight loss. Your healthcare team will provide detailed dietary guidance to help you adapt to these changes.

How soon can I return to work or normal activities after a bariatric revision surgery?

The recovery time after a bariatric revision procedure is rather short. Generally, patients can expect to return to normal activities within a few days. Light exercise, such as walking, can be resumed quite soon after the procedure. However, strenuous activities or heavy lifting should be avoided for a longer period. Your surgeon will provide specific recommendations based on your situation.

What kind of support can I expect from the Silhouette Clinic during my medical weight loss journey?

At the Silhouette Clinic, we take a comprehensive approach to support your weight loss journey. Our team of healthcare professionals is dedicated to providing personalized care tailored to your unique needs. Throughout your medical weight loss program, we offer regular check-ins, dietary counseling, and guidance on physical activity. We also provide behavioral therapy to help you tackle weight loss’s mental and emotional aspects. Our goal is to equip you with the tools, skills, and confidence to lose weight and maintain your progress long-term.

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