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esg cost

ESG cost and access

With Endoscopic Sleeve Gastroplasty (ESG), more people across the UK are discovering
a safe, minimally invasive path to lasting weight loss. 

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How much does ESG cost?

Endoscopic Sleeve Gastroplasty is becoming more widely available in the UK, with more hospitals and clinics providing access to this innovative procedure.1 Availability may depend on where you live,2 and costs can vary depending on whether you're eligible for treatment through the NHS or if you have cover through a private healthcare provider. 

As a newer option in weight management, ESG does not yet have a single standard cost, and not all hospitals may offer the treatment yet.  

Can I access ESG on the NHS?

ESG has been approved for weight loss by the NHS.3 Talk to your GP or a specialised weight management service to find out if ESG is offered by an NHS hospital or clinic in your area. 

NHS eligibility requirements

If ESG is available at a hospital near you, you may be eligible if you meet the following criteria:

  • You have a BMI over 30, or 27.5 for some ethnic groups _ check your BMI using our BMI calculator
  • You haven't achieved your desired outcomes via other methods, such as lifestyle changes
  • You are not eligible for other bariatric weight loss surgeries

Not everyone who is overweight will be eligible for ESG. Your doctor will take you through a screening process to assess your suitability for the procedure.4
 

Accessing ESG privately

If ESG isn't available through the NHS in your area, you may be able to access the procedure privately either by paying yourself or through your private healthcare provider.

Through your private healthcare provider

Check with your healthcare provider to find out if they offer coverage for Endoscopic Sleeve Gastroplasty.

Self-funded treatment

The cost of ESG can vary.4 Speaking directly with a provider is the best way to get a clear understanding of the costs for you.

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How do I find an ESG provider near me?

Finding an ESG provider is the first step in getting started in your weight loss journey.

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Preparing for your appointment

Your doctor will need to assess your suitability for the procedure, so be prepared to discuss your health history, along with your motivations and any concerns you may have about the procedure.

Come with your questions ready

You may find it helpful to note down specific questions before your appointment to make sure you don't forget to ask anything important.

See our how to talk to your doctor page for tips to help you prepare and get the most from your appointment.

Plan for success

ESG can be an effective way to manage your weight, but lasting results come with ongoing support and healthy lifestyle changes. Discuss your goals and expectations with your doctor, and ask about the follow-up care available to help you stay on track for the long term.

Check out our life after ESG page for practical tips to support your weight management journey.

Find out if Endoscopic Sleeve Gastroplasty is available near you

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About the ESG Procedure

Patients who have an ESG must also pursue certain lifestyle modifications, such as changes to diet and exercise, in order to achieve desired results. All procedures have risks. Patients should talk with their doctor and understand all risks before having a procedure. Individual results of the ESG procedure will vary.

References


  1. Imperial College Healthcare NHS Trust. St Mary's Hospital is early adopter of innovative obesity treatment [Internet]. London: Imperial College Healthcare NHS Trust; 2024. Available from: https://www.imperial.nhs.uk/about-us/news/st-marys-hospital-is-early-adopter-of-innovative-obesity-treatment [Accessed 2026 May].
  2. NHS. Why weight loss surgery is done [Internet]. London: NHS. Available from: https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/why-its-done/ [Accessed 2026 May].
  3. National Institute for Health and Care Excellence (NICE). Endoscopic sleeve gastroplasty for obesity. Interventional Procedures Guidance (IPG783) [Internet]. London: NICE; 2023. Available from: https://www.nice.org.uk/guidance/ipg783 [Accessed 2026 May].
  4. Cromwell Hospital. Endoscopic sleeve gastroplasty (ESG) [Internet]. London: Cromwell Hospital. Available from: https://www.cromwellhospital.com/services-specialties/endoscopic-sleeve-gastroplasty-esg/ [Accessed 2026 May].

 

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