Endoscopic Sleeve Gastroplasty (ESG) Reviews: What Real Patients Say

What do real patients say about endoscopic sleeve gastroplasty—days later, months later, even years down the line?

Some call it life-changing. Others say it gave them the structure and support they needed to finally make progress. If you’re considering ESG for weight loss without surgery, these are the stories that matter.

This article compiles firsthand ESG reviews and testimonials from across the web, including Reddit, RealSelf, and medical forums, plus detailed success stories from real patients. You’ll learn what the procedure is like, how recovery unfolds, what kind of weight loss is typical—and what people really think after living with the results.

Curious about your options? Meet with a Bariendo provider one-on-one. Book a free consultation and get personalized answers about ESG and your goals.

Endscopic Sleeve Gastroplasty Reviews from Real Patients

Across public forums like Reddit and RealSelf, many ESG patients report positive early results, supportive care, and a surprisingly easy recovery. For those considering the procedure, these firsthand accounts offer insight into what ESG really feels like in the first few weeks and months.
On RealSelf, one reviewer shared:
“Staff have been so supportive… 14 pounds down thus far and my journey is just beginning.” — RealSelf ESG Reviews
Another RealSelf user wrote:
“I had the procedure in late June and have already lost over 40 pounds. I feel like I’m finally in control of my health. No regrets—would do it again.” — RealSelf ESG Reviews
Reddit users share similar early progress. In one post, a patient wrote:
“I’m 9 days out, 14 lbs down and feeling great.” — Reddit: r/gastricsleeve
Another patient reflected on recovery a month after ESG:
“I’m a month out and down 20 pounds. I had to cut back on high intensity exercise in the heat because I couldn’t get fluids in fast enough, but aside from that, all has been good. Not necessarily easy but not at all difficult.” — Reddit: r/gastricsleeve
In another detailed update, a user shared:
“The first day I slept the day away when I got home—no pain. The liquid diet is hard… I’m really tired, but I’m looking forward to the puree phase.” — Reddit: r/WeightLossSurgery
These reviews reflect a common experience: ESG patients often see results quickly, feel well-supported during recovery, and appreciate the non-surgical, low-downtime nature of the procedure. For many, ESG is described as a powerful tool—one that helps them regain control over their health, starting from day one.

Real Life Testimonials from Bariendo Patients

When patients share their stories, it’s not just about pounds lost—it’s about life regained. Bariendo’s ESG patients consistently highlight how the procedure helped them reclaim their energy, improve their health, and build lasting confidence. These are just a few of the many inspiring journeys.

Lisa – 42 lbs in 3 months

“I feel like this time, I’ve been given the tools to succeed that will work for me for the rest of my life. Bariendo gave me the recipe/formula for a successful weight loss journey. My stomach is smaller, so I’m satisfied much quicker and that is SUPER helpful.” — Lisa, 3 months post-ESG (42 lbs lost)
Read Lisa’s full story ›

Natalie – Lost 42 lbs in 7 months

“The ESG procedure has truly transformed my life. I’ve lost almost 50 lbs in 7 months, which has boosted my confidence and helped me reclaim my joy and vitality… Thank you for helping me find my way back to a healthier, happier me.” — Natalie, 7 months post-ESG (42 lbs lost)
Read Natalie’s full story ›

From reduced hunger and better portion control to renewed confidence and energy, Bariendo’s ESG patients often describe the experience as life-changing. While everyone’s journey is unique, these stories show what’s possible with the right care, commitment, and support.

Ready to take the next step? Schedule a free consultation with Bariendo and find out if ESG is the right fit for you. No pressure—just expert guidance.

Real Patient Experiences After ESG

The decision to have ESG doesn’t end with the procedure—it’s just the beginning. Patients often share how the experience unfolds in the hours, days, and months that follow. From anesthesia and recovery to daily routines and long-term changes, their stories provide a clear, honest picture of what life looks like after ESG.

What It’s Like to Undergo the Procedure

The ESG procedure itself is straightforward and often described by patients as surprisingly easy. Because it’s done endoscopically—without external incisions—there’s no scarring, and most people go home the same day.

Patients are placed under general anesthesia, meaning they’re completely asleep and don’t feel a thing during the procedure. One patient described it simply: “I went to sleep, and when I woke up, it was done. No pain at all.” The doctor uses a flexible endoscope to place a series of internal stitches, which reduce the size of the stomach by about 75%. The entire procedure usually takes about 60 to 90 minutes.

Afterward, most patients spend a few hours in recovery. Medical teams closely monitor hydration, pain levels, and any signs of nausea before sending patients home. One reviewer shared, “The nurses got me up and walking within a few hours. I didn’t expect to feel that okay so soon after.” Some programs recommend an overnight stay, but many ESG patients are discharged the same day and report feeling alert and comfortable within hours.

Patients are typically surprised by how minimal the discomfort is. Another reviewer said, “The whole process felt low-stress. I was more anxious before than after—it all went so smoothly.” For most, the experience feels more like a long nap followed by a short recovery window, setting the tone for a hopeful start to their ESG journey.

What Recovery Looks Like

Recovery after ESG is typically short and manageable. Most patients are up and walking the same day, and many return to work or light daily activities within a few days. Because there are no external incisions, there’s no wound care, and most discomfort resolves quickly.

During the first few days, patients stick to clear liquids and focus heavily on hydration. One patient shared, “I used little 2 oz cups to measure out my water, protein shakes, and broth. It helped me stay on track and not overdo it.” Others noted mild side effects early on, like nausea or gas pain, but these usually resolve within a few days with medication and rest.

Most people report little or no pain. “I slept most of the first day and felt fine by the next morning,” said one ESG patient on Reddit. “I expected more discomfort, but I just felt tired, not in pain.” Others echo that sentiment, noting that acetaminophen was more than enough to manage any soreness.

Patients gradually transition from liquids to pureed foods, then soft foods, over several weeks. By week 5 or 6, most are eating regular healthy meals in smaller portions. “The liquid phase was tough, but by the time I got to soft foods, my energy came back and the weight was already coming off,” shared one reviewer.

The biggest challenge for many is learning to sip fluids slowly and eat mindfully. But for those who stick to the post-op plan, recovery is smooth and often empowering. As one Bariendo patient put it, “The follow-up care was amazing. They checked in often and made sure I was never guessing about the next step.”

Reported Side Effects

Most patients describe side effects after ESG as mild and short-lived. The most common are nausea, gas bloating, and fatigue in the first few days. These are usually well-managed with standard medications and tend to improve quickly.

One Reddit user shared, “I had mild nausea and some chest pressure the first two days, but by day four I was fine. Walking helped with the gas pains a lot.” Another mentioned, “I was super tired the first week – just really low energy – but that was expected. Once I started full liquids and protein shakes, I felt much better.”

Some patients do report trouble with hydration early on. “I couldn’t drink enough water on Day 2 and got dehydrated,” one said. “They brought me back in for IV fluids, and I felt 100 times better after that.” Stories like this highlight how important it is to sip fluids consistently, even if your appetite is low.

Chest or stomach discomfort is usually from gas or the stomach adjusting to the new shape. “It felt like a tight muscle cramp across my belly for a day or two – not pain, just pressure,” said one reviewer. Shoulder discomfort is also sometimes mentioned due to referred gas pain but typically resolves within 24–48 hours.

Serious complications are rare. According to large studies, fewer than 2% of patients experience significant issues like bleeding or infection. Most patients in forums and testimonials don’t mention anything beyond the typical early recovery symptoms.

Overall, side effects from ESG are usually described as manageable. Most people say the hardest part isn’t pain, but getting used to small sips and changes in energy while healing. With proper guidance and follow-up care, most patients report feeling well within the first week.

Daily Life After ESG

For many patients, daily life after ESG feels like a reset. Hunger levels drop significantly, portion sizes shrink, and routines start to shift toward healthier habits. But rather than feeling restrictive, many describe the changes as freeing.
“I used to think about food constantly. After ESG, that mental noise is just… gone.” In the first few months, meals are small—usually a few ounces at a time—and patients are encouraged to focus on protein, hydration, and mindful eating. Many use apps or food journals to help stay on track, especially as they transition from soft foods to solid meals.Energy gradually returns as nutrition improves. One patient shared, “By the end of month one, I was walking every day, doing light workouts, and feeling good. I didn’t feel sluggish anymore.” Another said, “I finally felt like my actions were matching my goals—and the scale was moving too.” Emotional shifts are common too. Some patients describe a boost in confidence and mood, while others say they feel calmer around food. One person noted, “It’s not like I don’t think about food—but it’s just easier now to say no or stop when I’m full.” Support continues to play a big role in daily success. Bariendo patients, in particular, often highlight how much the aftercare matters:
“The nutrition visits helped me build structure around my meals and snacks. It wasn’t just about eating less—it was about learning how to eat better.” Over time, new habits take root. ESG becomes less of a “thing to manage” and more of a background tool—helping patients stay aligned with the lifestyle they’ve been working toward.

Weight Loss Outcomes

Weight loss after ESG varies from person to person, but most patients see steady, meaningful results—especially in the first 6 to 12 months. Clinical studies show that patients typically lose 18% of their total body weight within the first year, and many share personal stories that align with or exceed those averages.
“I’ve lost almost 50 lbs in 7 months, which has boosted my confidence and helped me reclaim my joy and vitality.” — Natalie, Bariendo patient
Others report consistent weekly or monthly drops in weight:
“I lost 14 pounds in the first nine days. Then about 1–2 pounds per week after that. It’s steady and sustainable.” One of the key differences with ESG is that it works gradually—without extreme restriction. Patients often say they still enjoy food, just in smaller portions, and without the same constant cravings.
“It’s not fast like a crash diet, but it’s real. I’m losing weight while building habits I can actually stick to.” ESG is especially effective when paired with ongoing lifestyle support. Programs that include nutrition coaching, behavioral guidance, and regular follow-up often lead to better long-term results.
“I don’t just weigh less—I eat differently, I move more, and I actually feel in control.”

Long-Term Durability

While ESG is often praised for fast initial results, many patients also report sustained weight loss over time—especially when supported by nutrition counseling, follow-up care, and long-term habit changes.
Clinical studies suggest that ESG results can last well beyond the first year. Patients typically maintain at least 60–70% of their total weight loss at the two-year mark, and many continue to lose weight gradually into the third year. Those who stay engaged with their aftercare plan—particularly around diet, movement, and mindset—tend to see the best outcomes. “I didn’t gain it all back like I did with other diets. This feels like something I can actually live with.” Others report long-term improvements in energy, mobility, and confidence—even after their weight stabilizes. Some also see major changes in health conditions like prediabetes, high blood pressure, and joint pain.“It’s not just about the scale. I feel better. I move easier. I sleep better. That’s what makes it worth it.” For many patients, ESG doesn’t just create short-term momentum—it gives them a structure they can return to when life gets busy. That staying power is what makes the procedure so valuable over time.

The Bottom Line: Is ESG Worth It?

For many patients, Endoscopic Sleeve Gastroplasty delivers exactly what they hoped for: a non-surgical tool that jumpstarts real, sustainable weight loss—with minimal pain, fast recovery, and powerful improvements to health and quality of life.
From firsthand testimonials and independent forums to clinical results, one message stands out: ESG works best for people who are ready to commit. Patients who follow their post-procedure plan, attend follow-ups, and make long-term lifestyle changes often call the experience “life-changing.”
“This has truly changed my life. I feel like myself again—for the first time in years.” — Lisa, Bariendo patient (Read her story)
The procedure isn’t magic, and it doesn’t replace the work. But for those looking for a less invasive alternative to surgery—with real structure and support—many say ESG was worth every penny.
“I lost over 50 pounds. But more than that, I got my energy back, my confidence, and my joy.” — Glorimar, Bariendo patient (Read her story)
Across forums, patient review sites, and Bariendo’s own success stories, the sentiment is clear: ESG isn’t a shortcut—it’s a new starting point. And for those ready to take control of their health, it may be one of the most empowering decisions they’ll ever make.
Your journey starts here. Connect with Bariendo’s care team today and schedule your complimentary consultation. We’re here to help you succeed—every step of the way.