Mayo Clinic's approach


Mayo Clinic's campus in Arizona has collaborations between specialties to help people struggling with obesity gain control of their weight through multiple types of interventions in nutrition, medication, endoscopic procedures or surgery.

A team of specialists works together to develop treatment plans tailored to each person's needs and goals. Your team can include providers, coordinators and dietitians from Gastroenterology and Hepatology, endocrinology, general surgery, community internal medicine, psychiatry and psychology, and other specialties, as needed.


Mayo Clinic's campus in Florida has a dedicated Bariatric Center to help people struggling with obesity gain control of their weight.

A team of specialists works together to develop bariatric treatment plans tailored to each person's needs. Your team can include bariatric specialists from endocrinology, general surgery, psychiatry and psychology, community internal medicine, dietetics, and other specialties, as needed. The program also includes wellness coaching.


Mayo Clinic surgeons and gastroenterologists in Rochester, Minnesota, perform over 300 weight-loss surgeries and procedures each year. To date, Mayo Clinic gastroenterologists and endoscopists have already done more than 200 endoscopic sleeve gastroplasties.

Mayo Clinic in Rochester, Minnesota, is accredited as a comprehensive bariatric surgery center by the American College of Surgeons. Mayo Clinic in Rochester, Minnesota, has also met Medicare's facility standards for bariatric surgery.

The Mayo Clinic bariatric care team in Rochester, Minnesota, consists of experts from endocrinology, endoscopy, dietetics, gastroenterology, subspecialty general surgery, psychiatry and psychology, and other specialists, as needed. The program also includes wellness coaching.

Cost estimates

For questions about the cost of endoscopic sleeve gastroplasty, call Mayo Clinic's Estimating Service at 507-284-4024.

Expertise and rankings


Mayo Clinic surgeons and gastroenterologists have extensive experience with weight-loss surgery and endoscopy. Each year, more than 700 people undergo weight-loss surgery and endoscopic procedures at Mayo Clinic.

Innovative procedures

Mayo Clinic surgeons and gastroenterologists are involved in developing the latest in weight-loss surgeries and endoscopic procedures, such as endoscopic sleeve gastroplasty and intragastric balloons. They are currently investigating multiple new endoscopic treatment approaches to weight loss and metabolic disease, such as fatty liver disease and type 2 diabetes.

Mayo Clinic's Weight Regain Clinic is also offering a new endoscopic procedure to patients who had gastric bypass surgery in the past but have regained weight. This endoscopic procedure uses a minimally invasive endoscopic suturing device to reduce the size of the gastric pouch and outlet to improve the feeling of fullness and aid in weight loss.

Comprehensive, holistic care

Prior to arriving at Mayo Clinic, you'll receive support and resources for your wellness journey, including detailed instructions and expert guidance. After arriving, you'll spend about one week at Mayo Clinic in Rochester, Minnesota, to prepare for the procedure and yearlong journey ahead. This time will include consultations with endocrinologists, gastroenterologists and psychologists.

You'll also spend two days at Mayo Clinic's state-of-the-art Healthy Living Program facility. During this time, you'll work with a health coach, exercise physiologist and dietitian to create a detailed health plan for achieving your wellness goals.

Mayo Clinic has created an affordable financial bundle that includes the cost of the procedure itself plus a 12-month program implemented with the assistance of a healthy living coach.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report. Mayo Clinic Children's Center in Rochester is ranked the No. 1 hospital in Minnesota, and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2021-2022 "Best Children's Hospitals" rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Clinical trials

Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.

Dec. 20, 2019
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  2. Alqahtani A, et al. Short-term outcomes of endoscopic sleeve gastroplasty in 1000 consecutive patients. Gastrointestinal Endoscopy. 2019; doi:10.1016/j.gie.2018.12.012. Accessed Aug. 10, 2019.
  3. Bariatric surgery FAQs. American Society for Metabolic and Bariatric Surgery. Accessed Aug. 10, 2019.
  4. Hourneaux de Moura DT, et al. Endoscopic sleeve gastroplasty: From whence we came and where we are going. World Journal of Gastrointestinal Endoscopy. 2019; doi:10.4253/wjge.v11.i5.322. Accessed Aug. 10, 2019.
  5. Bazerbachi F, et al. Recent clinical results of endoscopic bariatric therapies as an obesity intervention. Clinical Endoscopy. 2017; doi:10.5946/ce.2017.013. Accessed Aug. 10, 2019.
  6. Bariatric surgery. National Institute of Diabetes and Digestive and Kidney Diseases. Accessed Aug. 14, 2019.
  7. Fayad L, et al. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: A case-matched study. Gastrointestinal Endoscopy. 2019; doi:10.1016/j.gie.2018.08.030. Accessed Aug. 10, 2019.
  8. Riggin EA. Allscripts EPSi. Mayo Clinic. Aug. 19, 2019.
  9. Hedjoudje A, et al. Efficacy and safety of endoscopic sleeve gastroplasty: A systematic review and meta-analysis. Clinical Gastroenterology and Hepatology. 2019; doi:10.1016/j.cgh.2019.08.022. Accessed Oct. 11, 2019.
  10. Abu Dayyeh BK (expert opinion). Mayo Clinic. Oct. 2, 2019.

Endoscopic sleeve gastroplasty