★★★★★ 4.9 from 850+ reviews
ESG · Dr. Héctor Pérez · Tijuana and Cancún
Endoscopic sleeve gastroplasty (ESG) makes your stomach smaller with stitches placed through your mouth, with no incisions and no part of the stomach removed. At Renew Bariatrics, Dr. Héctor Pérez performs ESG in Tijuana and Cancún, with an all-inclusive custom quote. In the US, ESG costs $11,131 on average.
HSA and FSA accepted, with financing available.
Free, no-obligation review
A coordinator will contact you about your options and quote, with no commitment.
Prefer to talk? Call (844) 736-3963, available 24/7.
Prefer to talk? Call 24/7 (844) 736-3963
How it works
ESG is a minimally invasive weight loss procedure. Instead of removing part of the stomach, as in a gastric sleeve, the doctor uses stitches to make the stomach smaller and tube-shaped, so you feel full sooner and eat less (Mayo Clinic).
Compare your options
Both make the stomach smaller. The gastric sleeve is surgery that removes most of the stomach, and ESG reshapes the stomach from the inside without removing any of it.
| ESG | Gastric sleeve | |
|---|---|---|
| How it’s done | Stitches placed through an endoscope in your mouth | Laparoscopic surgery through small incisions |
| Stomach removed | None | About 80% |
| Permanent? | Not designed to be temporary, and it can be converted to another bariatric surgery later | Permanent |
| BMI range at Renew | A BMI of 29.5 to 40 | A BMI of 29.5 to 65 |
| At Renew | Custom quote, with Dr. Pérez | $4,899, all-inclusive |
ESG information from Mayo Clinic and the FDA authorization, 2022. About the gastric sleeve · About the gastric balloon.
What to expect
With lifestyle changes, ESG leads to about 18% to 20% total body weight loss at 12 to 24 months (Mayo Clinic). Your results depend on your diet, activity and follow-up.
ESG or gastric sleeve? ESG is less invasive, and no part of the stomach is removed. If you have a higher BMI or want more weight loss, ask about the gastric sleeve. Dr. Pérez will recommend an option based on your BMI, health history and goals.
Am I a candidate?
At Renew Bariatrics, Dr. Pérez offers ESG for a BMI of 29.5 to 40. The FDA authorized the ESG device in 2022 for adults who haven’t been able to lose weight, or keep it off, through more conservative measures (FDA authorization, 2022).
Renew’s BMI range for ESG.
Diet, exercise or medication haven’t given you lasting results.
You don’t qualify for or don’t want traditional bariatric surgery.
You are healthy enough for general anesthesia.
Long-term results depend on your diet, activity and follow-up.
Above a BMI of 40, the gastric sleeve or another procedure may suit you better.
Dr. Pérez reviews your full health history before recommending ESG. Calculate your BMI.
ESG cost
At Renew Bariatrics, ESG is an all-inclusive custom quote, based on your health history and BMI. Your coordinator sends your exact price after Dr. Pérez reviews your application. In the US, ESG is usually paid out of pocket.
| Price | What it covers | |
|---|---|---|
| Renew Bariatrics, Mexico | Custom quote, all-inclusive | Procedure, hospital, hotel, transportation, companion, medications and aftercare |
| US national average | $11,131 | Range of $7,572 to $19,485 |
| US hospital example | About $12,462 | Self-pay price at Ohio State Wexner Medical Center, October 2024 |
US prices from CareCredit and Ohio State Wexner Medical Center. US prices usually don’t include travel, a hotel or a companion.
One price, everything you need
Your all-inclusive ESG quote covers everything except airfare. Flights, travel documents and your companion’s food are not included.
Financing and payment
A deposit secures your date, and you can pay the rest by card, HSA or FSA, or finance it.
Use your health savings or flexible spending account card.
Apply with United Credit, with multiple plans and decisions within seconds.
Bariatric surgery financing →Compare personal loan offers through SuperMoney. Checking rates won’t hurt your credit score.
See loan options →Use a withdrawal or loan from your 401(k) or retirement plan, if your plan allows it.
Your surgery may be a deductible medical expense. Check with a tax professional.
Is bariatric surgery tax deductible? →Your surgeon and hospitals
Dr. Héctor Pérez is the only Renew surgeon who performs ESG. He is a double board-certified bariatric surgeon and operates in both of our locations.
Send your health history and Dr. Pérez’s team will review it before you travel.
Get my free review →Safety and recovery
Pain and nausea for several days, usually managed with medicine.
Uncommon. In the MERIT trial, 2% of patients had a serious ESG-related adverse event, and there were no deaths.
Nothing by mouth for a few hours, then liquids for at least 2 weeks, then semisolid foods and a regular healthy diet.
Your package includes 2 hospital nights and 1 hotel night. Most people feel better within a few days.
Risk and diet information from Mayo Clinic and the MERIT randomized trial, Lancet, 2022.
Getting started
Send your health history and Dr. Pérez’s team will review it. Virtual consultations are available.
5-star Google reviews. Want to talk with a past patient? Ask your coordinator.
“Absolutely wonderful from the coordinators being on top of everything and efficiently to the transportation. I had Dr. Perez and he was phenomenal. The nurses are so adorably sweet and attentive to their patients. I 10/10 recommend Renew Bariatrics to anyone!”
“Dr. Hector Perez and his team were absolutely amazing! I highly recommend using Renew Bariatrics. You can tell they honestly love what they do and make you feel at home.”
“My experience with Dr. Perez was great. The staff is very friendly and attentive. The facility is nice and clean. I am grateful to everyone at Renew Bariatrics.”
“Dr Perez and his team were amazing. They made the process smooth and effortless. All the nurses were caring and there to help you any way they could.”
from 850+ reviews across 4 platforms
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ESG is a minimally invasive weight loss procedure. An endoscope is passed through your mouth, and stitches are placed inside the stomach to make it smaller and tube-shaped. There are no incisions, and no part of the stomach is removed.
ESG is done under general anesthesia, but there are no incisions. Everything is done through an endoscope passed down your throat.
With lifestyle changes, Mayo Clinic reports about 18% to 20% total body weight loss at 12 to 24 months. In the MERIT randomized trial, patients lost an average of 49.2% of their excess weight at 1 year.
ESG at Renew Bariatrics is an all-inclusive custom quote after your medical review. It covers your surgeon, anesthesia, pre-op testing, 2 hospital nights, 1 hotel night, transportation, 1 companion, take-home medications and aftercare. Airfare is not included.
According to CareCredit, the US national average for ESG is $11,131, with a range of $7,572 to $19,485. Ohio State Wexner Medical Center lists a self-pay price of about $12,462.
Yes. You can pay with an HSA or FSA card, apply for medical financing or a personal loan, or use a 401(k) withdrawal if your plan allows it.
Dr. Héctor Pérez is the only Renew surgeon who performs ESG. He operates at SER Hospital in Tijuana and Hospital Joya Cancún.
ESG is not designed to be temporary, but it can be converted to another bariatric surgery later if you need it.
A gastric balloon is placed in the stomach and removed after 6 to 12 months. ESG uses stitches that are meant to stay, and nothing is left in the stomach to remove.
You start with liquids for at least 2 weeks, then move to semisolid foods and then a regular healthy diet. Our nutritionists guide you through each stage.
Free surgeon review
Tell us a little about you, and our team will follow up with your options and quote. No commitment.
Double board-certified surgeons with 9,000+ surgeries.
Prefer to talk? Call 24/7 (844) 736-3963
Free, no-obligation review
Form loading. Prefer to talk? Call (844) 736-3963, available 24/7.
No commitment. A coordinator will contact you.
