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TORe cost and access

Transoral Outlet Reduction (TORe) is helping more people across the UK regain control of their weight following bariatric surgery.

How much does TORe cost?

Transoral Outlet Reduction is becoming more widely available in the UK, but access can vary depending on where you live.1 How much the procedure costs may also differ depending on whether you’re eligible through the NHS or a private healthcare provider – and if so, which one.

The information below will help you get started. 

Can I access TORe on the NHS?

In NHS centres where TORe is performed, you may be able to access the procedure at no cost to yourself if you meet the eligibility criteria. You may need to get special approval first.


This could be either Prior Approval or an Individual Funding Request, which must be submitted by your doctor.2,3 They can guide you through the process and help you understand your options so you can make the best choice. 


NHS eligibility requirements

If TORe is available near you, you may be eligible if you’ve had a previous Roux-en-Y gastric bypass or sleeve surgery and meet one or more of the following criteria:

  1. You have complications from your previous surgery
  2. You have not been able to achieve or maintain your desired weight loss goals, or you are experiencing recurrent weight gain
  3. Your other weight-related health issues have not improved or have re-emerged 
  4. You have a combination of these factors3 

 

Accessing TORe privately

If TORe isn’t available through the NHS in your area, you may be able to access the procedure privately either through self-funding or through your private healthcare provider.

Through your private healthcare provider

Check with your healthcare provider to find out if they offer coverage for Transoral Outlet Reduction.

Self-funded treatment

The cost of TORe can vary. Speaking directly with a provider is the best way to get a clear understanding of costs in your area.


Patient speaking with Doctor

How do I find a TORe provider?

Finding a TORe provider is the first step in getting back on track in
your weight loss journey. 


Preparing for your appointment

Get your documents ready

Your doctor will need to review your previous health records, including surgical notes, follow-up tests and any complications you’ve experienced. Have these on hand to help them assess your eligibility for TORe.

Prepare your questions

TORe is designed for people who’ve had a previous gastric bypass or sleeve surgery, so you may have specific concerns about recurrent weight gain, potential complications, or recovery. Make a note of any questions you have so you can get the guidance and advice that’s most relevant to you.

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

TORe can help you regain control over your weight, but long-term success depends on ongoing support and lifestyle changes. Talk through your goals and expectations with your doctor and explore the follow-up support that can help you maintain long-term success.

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


Ready to take the next step and get back on track towards your weight loss goals?


References

  1. NHS. Why weight loss surgery is done [Internet]. Available from: https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/why-its-done/ [Accessed 2026 May].
  2. NHS. Schedule of policy statements for health care interventions and referral and treatment criteria (RaTC) for NHS Kent and Medway Clinical Commissioning Group [Internet]. Available from: https://www.kentandmedway.icb.nhs.uk/application/files/2916/5815/9811/Schedule_of_policy_statements_for_health_care_interventions_and_referral_and_treatment_criteria.pdf [Accessed 2026 May].
  3. NHS. Appendix 8 Guidance for Clinical Commissioning Groups (CCGs): Clinical Guidance: Revision Surgery for Complex Obesity [Internet]. 2016. Available from https://www.england.nhs.uk/wp-content/uploads/2016/05/appndx-8-revision-surgery-ccg-guid.pdf [Accessed 2026 May].

 

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