Obesity does not only undermines impair self-confidence, but  Obesity makes many patients lose confidence in their appearance.  Endoscopic sleeve gastroplasty (ESG), a novel technique derived from a prior prior surgical technique called laparoscopic sleeve gastrectomy (LSG), is less invasive, and offers favorable weight reduction outcomes. ESG has gained s its popularity because of its lack of incision, incisionless fashion, faster recovery, and lower rates of acid reflux , compared to LSG.