Endoscopic Sleeve Gastroplasty Turkey 2025: Cost, Steps and Photos

Endoscopic Sleeve Gastroplasty (ESG) in Turkey is a non-surgical weight loss option using internal sutures to shrink the stomach—ideal for moderate obesity or revision cases. At Turkey Luxury Clinics, we provide personalized consultations, transparent pricing, and flexible financing to support your journey.

What is Endoscopic Sleeve Gastroplasty?

Endoscopic sleeve gastroplasty (ESG), also known as suture sculpt endoscopic gastroplasty, is a type of bariatric surgery, weight loss procedures. It is a minimally invasive, non-surgical and reversible weight loss procedure that uses an endoscope to suture the stomach, reducing its size and volume. This restricts the amount of food a person can eat and promotes weight loss

How Much Does Endoscopic Sleeve Gastroplasty Cost in Turkey?

The cost of endoscopic sleeve gastroplasty (ESG) in Turkey typically ranges from $6,720 to $9,600.

This price often includes more than just the procedure itself—it may cover doctor consultations, anesthesia, hospital fees, accommodation, airport transfers, and post-op care depending on the clinic and package selected. This makes Turkey one of the most affordable and value-packed destinations for ESG globally.

Cost Comparison of ESG in Turkey vs. Other Countries

Below is a general comparison of ESG prices across different countries. Keep in mind that these are average estimates and may vary depending on the facility, surgeon’s experience, and what's included in the total package. Related comparison is

Insurance Coverage, Self-Pay, and Financing Options for ESG

While some countries may offer insurance coverage for endoscopic sleeve gastroplasty (ESG)—particularly when the procedure is deemed medically necessary to treat obesity-related health conditions—this is not always the case. In many regions, patients may need to opt for endoscopic sleeve gastroplasty self-pay, especially if the procedure is considered elective.

In contrast, ESG in Turkey remains a more affordable option, even for self-paying patients. Many clinics offer budget-friendly endoscopic sleeve gastroplasty finance plans, allowing patients to pay in installments. These flexible options make ESG accessible without compromising on quality or safety.

Related topics: Gastric Sleeve Cost in Turkey

Who are Best Candidates for Endoscopic Sleeve Gastroplasty?

ESG is often considered for patients with a BMI of 30 to 40 who have not achieved sufficient weight loss through diet and exercise alone. Also, Individuals with moderate obesity or those seeking a less invasive option are qualified to ESG. It is an alternative to surgical procedures like gastric sleeve surgery.

Read about: Who Qualifies for Gastric Sleeve? BMI & Requirements

Endoscopic Sleeve Gastroplasty Procedure Steps

ESG uses a flexible endoscope with a suturing device to fold and suture stomach internally fold to stomach's size, effectively creating a smaller, tube-like stomach

Here are how ESG work step by step:

1.Preparation and anesthesia: the procedure is performed under general anesthesia, with special position on the operating table that allow for endoscope insertion

2.The endoscope, equipped with a camera and suturing device, is carefully inserted through the mouth and into the stomach.

3.The endoscope is used to suture the stomach, creating a smaller, tube-like shape.

4.The sutures are tightened, bringing the stomach walls together and creating the sleeve-like shape.

Endoscopic Sleeve Gastroplasty Recovery Time

Recovery after endoscopic sleeve gastroplasty (ESG) is typically quick. Most patients are discharged the same day and can return to their normal routine within 1 to 3 days, depending on how they feel.

However, during the initial recovery period at home, it’s essential to follow medical advice—this includes getting plenty of rest and starting a liquid-only diet as instructed. These early measures support healing and reduce the risk of complications.

Endoscopic Sleeve Gastroplasty Diet

After endoscopic sleeve gastroplasty (ESG), patients follow a gradual, staged diet to support healing and help the body adjust to a reduced stomach size.

The progression typically begins with clear liquids for the first 2 days, followed by full liquids, then pureed and soft foods introduced gradually over the first 2 weeks. By the end of 4 weeks, most patients transition to a balanced, healthy diet.

This gradual return to food is essential for proper healing. However, following a long-term nutrition plan is key to achieving sustained weight loss and long-term success after ESG.

When to Return to Work After Endoscopic Sleeve Gastroplasty?

The time needed to return to work after ESG depends on your overall health and the nature of your job. Some people feel well enough to resume non-physical or desk jobs within 3 days. Most patients return to work within a week of the procedure. However, if your job involves heavy physical activity, it's best to wait up to 4 weeks to allow proper healing of the stomach sutures and avoid complications.

When to Return to Activities and Exercises After Endoscopic Sleeve Gastroplasty?

While light movement is encouraged during the first few days after ESG to help prevent blood clots, structured light exercises such as walking are generally allowed after one week. Strenuous physical activity should be avoided for at least four weeks to allow the internal sutures to heal properly and minimize the risk of complications.

What Are the Results of Endoscopic Sleeve Gastroplasty (ESG)?

Endoscopic Sleeve Gastroplasty (ESG) is a highly effective non-surgical option for weight loss. Clinical studies show that patients typically lose 15% to 20% of their total body weight within the first year following the procedure. This often translates to an average loss of 40 to 70 pounds, or up to 60% of excess body weight.

In addition to weight reduction, ESG can lead to significant improvements in obesity-related health conditions, such as type 2 diabetes, high blood pressure, and sleep apnea. For many patients, ESG offers a safe and less invasive alternative to traditional bariatric surgery.

Endoscopic Sleeve Gastroplasty Failure

Endoscopic sleeve gastroplasty (ESG) can fail in some cases, typically due to inadequate weight loss or weight regain over time.

Common causes include stomach stretching, loosened or ineffective sutures, or patient-specific factors such as poor adherence to diet and lifestyle changes.

In cases where ESG fails, the issue can often be addressed through revision weight loss surgery. This may involve re-suturing the stomach or converting the ESG to another bariatric procedure, such as a gastric sleeve (GS) or gastric bypass

Endoscopic Sleeve Gastroplasty Long-Term Side Effects

While ESG is less invasive than traditional bariatric surgery, it still carries some risks—especially in the long term. Most side effects are rare, but patients should be aware of the following potential complications:

1. Bleeding: Like any endoscopic procedure, there's a risk of bleeding during or shortly after ESG.
2. Infection: Though uncommon, infections can occur. Preventive antibiotics are often given before the procedure.
3. Tears in the stomach wall: These may occur if the stomach tissue is fragile or if excessive tension is applied during suturing.
4. Leaks: Leakage of stomach contents into the abdominal or chest cavity is a serious but rare complication.
5. Pulmonary embolism: A rare but potentially life-threatening blood clot in the lungs.
6. Stomach ulcers: Some patients may develop ulcers at or near the suture sites.

One advantage of ESG is that it is potentially reversible. In certain cases, complications can be managed by removing or adjusting the sutures, offering more flexibility compared to permanent surgical options.

Endoscopic Sleeve Gastroplasty Before and After Pictures

Endoscopic Sleeve Gastroplasty ESG vs Gastric Sleeve GS

Endoscopic sleeve gastroplasty (ESG) and gastric sleeve surgery are both weight-loss procedures that aim to reduce stomach size, but they differ significantly in their approach and invasiveness.

ESG is a minimally invasive, incision-free procedure performed endoscopically, where sutures are used to reduce the stomach's size.

In contrast, gastric sleeve surgery is a more traditional surgical procedure that involves removing a portion of the stomach to create a smaller, sleeve-like structure, and require longer recovery time.

Despite ESG is effective weight loss procedure, it results in slightly less weight loss compared to gastric sleeve surgery, according to research from the National Institutes of Health (NIH)

Endoscopic Sleeve Gastroplasty Pros and Cons

ESG pros:

1. Minimally invasive:ESG is less invasive than traditional surgical weight loss procedures, such as laparoscopic sleeve gastrectomy.
2. Reversible:ESG is reversible for most patients, unlike surgical sleeve gastrectomy.
3. Effective weight loss:Patients can expect to lose a significant amount of weight, potentially up to 20% of their body weight.
4. Improved health outcomes:ESG can improve or resolve obesity-related conditions like type 2 diabetes, hypertension, and sleep apnea.
5. Reduced appetite: The smaller stomach size and slower emptying rate can help reduce hunger and promote satiety

ESG cons

1. Potential for stomach stretching and weight regain
2. Long-term data on the sustained effectiveness of ESG is still emerging.
3. While the risk is lower than with traditional surgery, complications like gastric narrowing, stitch loosening, or, in rare cases, leakage can occur.
4. ESG may not be appropriate for individuals with certain conditions like stomach ulcers, large hiatal hernias, or bleeding disorders.
5. Some individuals may not experience significant weight loss with ESG and may require additional interventions.

Endoscopic Sleeve Gastroplasty in Turkey

Endoscopic Sleeve Gastroplasty (ESG) in Turkey is a non-surgical weight loss option using internal sutures to shrink the stomach—ideal for moderate obesity or revision cases. It’s known for being affordable, safe, and effective.

Patients’ endoscopic sleeve gastroplasty reviews generally indicate a positive experience with low discomfort and fast recovery. Many report feeling full sooner, leading to reduced intake and steady weight loss.

At Turkey Luxury Clinics, we provide personalized consultations, transparent pricing, and flexible financing to support your ESG journey. Contact us today for trusted ESG solutions.

FAQs About Endoscopic Sleeve Gastroplasty