Safe. Gentle. Powerful. The New Face of Obesity Treatment

 
Not every weight-loss journey needs surgery. Endoscopic Sleeve Gastroplasty (ESG) at Bumrungrad is a safe, scar-free procedure with fast recovery and long-term results for people struggling with obesity.
 
Obesity Deserves a Gentler Solution
For many people, obesity is more than a number on the scale—it's a chronic medical condition that affects physical health, emotional well-being, and quality of life. And yet, it's often misunderstood or reduced to a matter of willpower. In truth, sustainable weight loss requires a compassionate, science-based approach tailored to the individual.
 
That’s exactly what Endoscopic Sleeve Gastroplasty (ESG) offers.
Available at Bumrungrad International Hospital, ESG is a minimally invasive, non-surgical weight-loss procedure designed to help people take back control of their health—without external incisions or long recovery times.
 

Why ESG Works—and Why It’s Different

Unlike traditional bariatric surgery, ESG reshapes the stomach using internal sutures, placed through a flexible scope inserted via the mouth. There are no skin incisions, no scars, and no need to remove any part of the stomach.
 
This procedure reduces the stomach’s volume, helping patients feel full faster and eat smaller portions. The result is gradual, sustainable weight loss—without the risks and complications commonly associated with surgery.
 
Most patients spend only one night in the hospital and return to normal daily activities within 1 to 3 days.
 
 

Designed for People Who’ve Tried Everything

ESG is intended for individuals who have made multiple attempts to lose weight through diet and exercise, but haven’t seen long-term success. It provides a much-needed middle ground between non-medical methods and surgical options.
 
You may be a good candidate for ESG if:

• You are 18 years or older
• You have a Body Mass Index (BMI) over 30 — or, if you are Asian, a BMI over 27.5 kg/m² with obesity-related comorbidities (such as diabetes, hypertension, or fatty liver)
• You do not have any active eating disorders or gastrointestinal bleeding risks
• You are committed to making lasting lifestyle and dietary changes
• You’re looking for a safer, scar-free alternative to surgery

 

Expert Care at Every Step

At Bumrungrad’s Digestive Disease Center, ESG is more than just a procedure—it’s a partnership. From your first consultation to long-term follow-up, you’re supported by a multidisciplinary team of:

• Gastroenterologists trained in advanced endoscopic techniques
• Nutritionists who help guide your post-procedure diet
• Specialists who customize care plans based on your health needs

 
You’re not just a case or a number—you’re a person, and we’re here to walk with you every step of the way.
 
Safe. Gentle. Proven.
 

Frequently Asked Questions (FAQ)

Q: What is ESG and how is it different from bariatric surgery?
A: ESG (Endoscopic Sleeve Gastroplasty) is a minimally invasive, non-surgical procedure that reduces the size of the stomach using internal sutures. Unlike traditional surgery, ESG requires no external cuts and leaves no visible scars.
 
Q: How long is the hospital stay after ESG?
A: Most patients stay just one night in the hospital and return home the following day.
 
Q: How long does it take to recover?
A: Patients typically resume light activities within 1–3 days after the procedure. There are no external wounds, so recovery is quicker and more comfortable than surgery.
 
Q: Will I feel pain after the procedure?
A: Most patients experience only mild discomfort, such as nausea or bloating, which usually resolves within a few days.
 
Q: How much weight can I expect to lose?
A: Many patients lose up to 20% of their body weight in the first year after ESG, especially when combined with healthy eating and regular follow-ups.
 
Q: Is ESG permanent?
A: ESG is designed to support long-term results. However, success depends on ongoing lifestyle changes and medical follow-up. The procedure can be repeated or adjusted if needed.
 
Q: Who should avoid ESG?
A: ESG is not suitable for individuals with untreated eating disorders, uncontrolled gastrointestinal bleeding, or bleeding disorders. A full screening is done to assess eligibility.
 
 
A New Chapter Begins Here
You don’t have to choose between doing nothing and undergoing surgery. There is a third option—safe, gentle, and medically proven.
 
If you’re ready to explore a different kind of weight-loss journey, speak with the team at Bumrungrad’s Digestive Disease Center today.
 
Learn more about the Endoscopic Sleeve Gastroplasty (ESG) package and take the first step toward a healthier, happier you.