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Pros and cons · Renew Bariatrics

Gastric Balloon vs Gastric Sleeve

A gastric balloon is temporary and non-surgical. The gastric sleeve is permanent surgery that removes most of the stomach. Here’s how they compare on weight loss, risks, recovery and cost, so you can decide which fits your goals.

  • $3,999Balloon placement
  • $4,899Gastric sleeve
  • 6–12 moBalloon stays in
  • 4.9From 850+ reviews

Renew offers both. Your doctor will recommend one after reviewing your health history.

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A coordinator will contact you about your options and quote, with no commitment.

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Quick pros and cons

Which option is best?

The best choice depends on your BMI, how much weight you want to lose and whether you want a permanent change.

Non-surgical: gastric balloon

Placed through the mouth in less than 30 minutes, with no incisions.

More weight loss: gastric sleeve

43.5% of excess weight lost 10 years after surgery (SLEEVEPASS).

Temporary: gastric balloon

Removed after 6 to 12 months, so nothing is permanent.

Permanent: gastric sleeve

About 80% of the stomach is removed for good.

Lower starting price: gastric balloon

Placement from $3,999 at Renew, plus $2,599 removal.

One price: gastric sleeve

$4,899 at Renew, all-inclusive.

How they work

How each option causes weight loss

Both help you feel full sooner. The balloon takes up space in the stomach for 6 to 12 months and is then removed. The sleeve permanently removes most of the stomach.

Illustration of a saline-filled gastric balloon inside the stomach
Gastric balloonA soft balloon is placed through the mouth and filled with saline, taking up space in the stomach. It’s removed after 6 to 12 months.
Illustration of a gastric sleeve, with about 80% of the stomach removed
Gastric sleeveAbout 80% of the stomach is removed, leaving a narrow, banana-shaped sleeve. The intestine isn’t changed.

Side by side

How the balloon and sleeve compare

Gastric balloonTemporary, non-surgicalGastric sleevePermanent surgery
How it’s donePlaced through the mouth by endoscopy, under sedationLaparoscopic surgery through small incisions
Stomach removedNoneAbout 80%
Permanent?No. Removed after 6 to 12 monthsYes
Your stay at Renew1 hotel night2 hospital nights, 1 hotel night
BMI range at Renew25.5 to 4029.5 to 65
Weight loss10% to 15% of body weight while the balloon is in43.5% of excess weight 10 years after surgery
Main risksNausea and vomiting at first. 17% to 19% are removed earlySurgical risks, and reflux. Esophagitis was found in 31% of patients at 10 years
Cost at RenewFrom $3,999 placement, plus $2,599 removal$4,899, all-inclusive

Balloon data from the FDA summary of the Orbera trial and the FDA summary of the Spatz3 trial. Sleeve data from the SLEEVEPASS 10-year trial, JAMA Surgery, 2022. The trials measured weight loss differently, so compare the numbers with care.

Results

Weight loss with each option

10.2%Average body weight lost with the Orbera balloon at 6 months, in the FDA trial.FDA summary of the Orbera trial
15.0%Average body weight lost with the Spatz3 balloon at 32 weeks, in the FDA trial.FDA summary of the Spatz3 trial
70%+Of the weight lost with Orbera was kept off 6 months after removal.FDA summary of the Orbera trial
43.5%Median excess weight lost 10 years after the gastric sleeve, in the SLEEVEPASS trial.SLEEVEPASS 10-year trial, JAMA Surgery, 2022

Complications

Risks and side effects

A balloon avoids surgery, but it has its own risks. Nausea and vomiting are common at first, and rare serious complications can occur. The sleeve carries surgical risks such as leaks and bleeding, and reflux is common afterward.

17–19%Of balloons were removed early in the FDA trials, most often for nausea, vomiting or pain.FDA summary of the Orbera trial
1.0%Of sleeve patients needed another operation within 30 days, in a large US registry study.MBSAQIP 30-day outcomes, 2018
31%Of sleeve patients had reflux damage (esophagitis) 10 years after surgery.SLEEVEPASS 10-year trial, JAMA Surgery, 2022

Which is right for you?

Choosing between a balloon and a sleeve

A balloon may fit if

You have a BMI of 25.5 to 40 and want a temporary, non-surgical option.

A balloon may fit if

You want a first step before surgery, or you don’t want surgery.

A balloon may fit if

You’re ready to follow a diet program while the balloon is in and after it’s removed.

A sleeve may fit if

You have a BMI of 29.5 to 65.

A sleeve may fit if

You want a permanent change and more long-term weight loss.

A sleeve may fit if

You’re ready for surgery and lifelong vitamins and follow-up.

Another option is endoscopic sleeve gastroplasty (ESG), which is done through the mouth like a balloon but isn’t designed to be temporary.

Cost

Gastric balloon vs gastric sleeve cost

At Renew, balloon placement starts at $3,999, and removal is $2,599 if you have it done with us. The gastric sleeve is $4,899, all-inclusive except airfare. HSA and FSA are accepted, with financing available.

Balloon placement

From $3,999. Orbera or Spatz, with 1 hotel night.

Gastric balloon cost →

Balloon removal

$2,599 at Renew, or by a doctor at home.

How removal works →

Gastric sleeve

$4,899, all-inclusive, vs about $18,000 in the US.

Gastric sleeve cost →

ESG

Custom quote, with Dr. Pérez.

ESG cost →

Not sure which is right for you?

Send your health history and our team will review your options. Virtual consultations are available.

Reviews of Dr. Pérez and the Renew team

Read all patient reviews →

5-star Google reviews. Want to talk with a past patient? Ask your coordinator.

★★★★★
“The nurses and coordinators are AWESOME, they really care about you here!! SWEETEST housekeeper also, she keeps everything so clean! Dr. Perez is the bomb!! Would highly recommend Renew!”
Deenie R. · Renew patient · Google review
★★★★★
“Dr. Perez and the entire team at Renew Bariatrics! Everything was set up perfectly and went smooth from being picked up at the airport, hospital stay and care and back home. 100% recommend to anyone wanting weight loss surgery.”
Jill C. · Renew patient · Google review
★★★★★
“Dr. Perez is a phenomenal doctor! Him and the nursing staff made me feel at home. I wouldn’t want to get the surgery done anywhere else!”
Stephanie L. · Renew patient · Google review
Read all patient reviews →
4.9

from 850+ reviews across 4 platforms

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Frequently asked questions

Which is better, a gastric balloon or a gastric sleeve?

It depends on your BMI, health and goals. The sleeve leads to more long-term weight loss but is permanent surgery. The balloon is temporary and non-surgical. Your doctor will recommend one after reviewing your health history.

How much more weight do you lose with a sleeve than a balloon?

In the FDA trials, balloon patients lost about 10% to 15% of their body weight while the balloon was in. In the SLEEVEPASS trial, sleeve patients had lost 43.5% of their excess weight 10 years after surgery. The studies measured weight loss differently.

Is a gastric balloon cheaper than a gastric sleeve?

At Renew, balloon placement starts at $3,999, and removal is $2,599 if you have it done with us. The gastric sleeve is $4,899, all-inclusive.

Can I get a gastric sleeve after a balloon?

Yes. Some patients use a balloon as a first step before surgery. Ask our team about timing.

Is a gastric balloon safer than a sleeve?

A balloon avoids surgery, but it has its own risks. Nausea and vomiting are common at first, 17% to 19% of balloons were removed early in the FDA trials, and rare serious complications can occur.

Which has a faster recovery?

The balloon is placed in less than 30 minutes, and you stay 1 hotel night. The sleeve includes 2 hospital nights. Most people feel better within a few days of a balloon, though nausea can last longer.

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  • Approved in as fast as 24 hours
  • Balloon placement from $3,999
  • Gastric sleeve $4,899
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