Endoscopic sleeve gastroplasty (ESG) is a non-surgical procedure that reduces the stomach’s capacity from the inside using a flexible endoscope, with no incisions, no overnight hospital stay, and a recovery measured in days rather than weeks.
It is also one of the most clinically studied minimally invasive weight loss interventions currently available, with peer-reviewed data supporting outcomes, safety, and metabolic benefits across multiple years.
And because weight regulation is tied to sleep and stress biology (not just willpower), the strongest ESG programmes build recovery support that helps patients stabilize routines including restorative sleep during the post-procedure transition.
Dallas has a growing concentration of providers offering ESG, which makes choosing well both more possible and more important. Physician experience, clinical environment, and the quality of the post-procedure support programme all influence outcomes. But the challenge is that not all clinics offering ESG are equal. Provider experience, post-procedure support, and the clinical environment all influence outcomes.
This guide walks through what distinguishes a quality ESG provider in Dallas, and what to ask before you book a consultation.
What the research shows on ESG outcomes
Before comparing providers, it helps to understand the clinical baseline. These are the figures that a well-qualified ESG clinic should be able to speak to.
5 years durability data now available, with a meaningful proportion of patients sustaining significant weight loss without revision.
Beyond weight loss, current wellness research increasingly associates ESG with improvements in blood sugar regulation, insulin sensitivity, and markers of metabolic inflammation, particularly in patients navigating early metabolic syndrome or obesity-related conditions.
1. Everself | Best for: longitudinal care and procedural volume
Location: Legent Orthopedic Hospital Carrollton, TX (approx. 19 mins from DFW Airport)
Procedure offered: ESG stomach tightening, gastric balloon, sleeve-in-sleeve revision, GLP-1 medication support
Post-procedure support: 12-month longitudinal care programme including dietitian, nurse practitioner, and medication management
Everself is the nation’s largest provider of endoscopic weight loss solutions, and its Dallas programme is one of the most structurally comprehensive options in the DFW area. Procedures are performed at their state-of-the-art accredited surgical facility, and the clinical team trains under the direct mentorship of the inventor of ESG stomach tightening.
For Dallas patients, the ESG procedure with fast recovery with Everself begins with a virtual consultation, meaning no unnecessary clinic visits before the procedure itself.
The 12-month care programme that follows is the distinguishing feature: registered dietitian support, nurse practitioner check-ins, and where appropriate, GLP-1 medication management, all structured around the understanding that ESG is the start of a longer metabolic journey, not the end of one.
What truly sets Everself apart is its supportive, end-to-end model of care: patients move through one connected pathway from evaluation to procedure to long-term follow-up, with personalised guidance under certified experts at every stage. Instead of feeling “handed off” between providers, the experience is designed to feel continuous, coordinated, and tailored—so the clinical plan stays aligned with real life.
The programme also offers a partner hotel discount at Courtyard by Marriott Dallas Carrollton for patients travelling from outside the immediate area.
Best for: patients who want a fully structured programme around the procedure, specialist-level credentials, and a clear long-term support pathway – a complete care.
2. UT Southwestern Medical Center Endobariatric Program
Location: Dallas, TX
Procedure offered: ESG, endoscopic bariatric revision procedures
UT Southwestern’s Endobariatric Program sits within one of the known academic medical centres in the region, and is distinguished by its genuinely multidisciplinary structure. Patients can access endobariatric specialists, obesity medicine physicians, bariatric surgeons, and plastic surgeons in a coordinated setting, with registered dietitian support from the Weight Wellness Clinic both before and after the procedure.
The programme is also actively engaged in clinical research, including outcome registries tracking patient progress after endoscopic bariatric procedures, which reflects the evidence-based orientation of its clinical approach. For patients who want their care grounded in academic medicine and ongoing research, UT Southwestern is a strong option.
3. DFW Bariatric Institute | Best for: accessible DFW locations
Location: Multiple DFW locations
Procedure offered: ESG, medical weight loss programme
DFW Bariatric Institute offers one of the most geographically accessible ESG options in the metroplex, with multiple locations across Dallas, Fort Worth, Frisco, and Arlington. Its model is also notable for explicitly welcoming out-of-town patients, with a published view that ESG’s minimal recovery requirements make it well-suited to those travelling from outside the DFW area.
The institute pairs the ESG procedure with a medical weight loss programme that incorporates nutritional education and ongoing medical supervision, and offers financing through independent medical lenders for patients who need payment flexibility. For those prioritising location convenience or financing accessibility alongside clinical quality, this is a well-established local option.
Best for: patients across the wider DFW area
4. Dr. Prashant Kedia (Kedia MD)
Dr. Prashant Kedia is another credentialed therapeutic endoscopists in Dallas, with a specialisation that goes well beyond weight loss to encompass the full spectrum of complex digestive conditions. He has been performing ESG since 2014, placing him among the longer-established practitioners of the procedure in Texas.
His affiliation with Methodist Dallas Medical Center provides a well-resourced clinical environment, and patients seeking a highly specialised single-practitioner experience with deep endoscopy credentials will find this practice worth investigating.
Initial consultations are available and recommended to assess candidacy before any procedure commitment.
5. LoneStar Bariatrics
Location: Plano, Waxahachie, Hurst, Dallas (N Central Expy), and Arlington, TX
Procedure offered: ESG alongside a wider range of bariatric surgery options
LoneStar Bariatrics brings a surgical bariatric background to ESG, with lead physician Dr. Chad Carlton holding board certifications in both bariatric and general surgery alongside fellowship credentials from the American College of Surgeons.
This dual context (endoscopic procedure delivered by a surgeon with formal bariatric training) may appeal to patients who want the option to discuss a wider range of weight loss pathways within a single practice.
With five locations across North Texas, including a Dallas site on N Central Expressway, the practice offers strong geographic reach. Patients are assessed for ESG candidacy through an initial consultation, with BMI of 30 or above and a commitment to lifestyle changes cited as the primary eligibility criteria.
What makes a clinic worth trusting for ESG in Dallas
When evaluating providers, three factors tend to separate reliable clinics from the rest: the credentials and volume of experience of the performing physician, the clinical environment where the procedure takes place, and the quality of the post-procedure support programme.
The five providers above represent a range of clinical models. Here are the questions that will help narrow the decision.
What is the performing physician’s specific ESG experience? ESG is technique-dependent. Volume and fellowship-level endoscopy training matter more than general surgical credentials alone.
What does post-procedure support include? A single follow-up appointment is a very different proposition to a structured 12-month programme. Understand exactly what is included before committing.
Where is the procedure performed? Accredited surgical facilities with appropriate monitoring protocols provide a meaningfully different clinical environment to less regulated outpatient settings.
Does the clinic offer a virtual consultation first? The best providers will assess your candidacy thoroughly before recommending any procedure, and virtual consultations make this accessible without unnecessary travel.
What to look for in a post-procedure support programme
ESG is not a one-and-done intervention. The research is consistent on this point: the best long-term outcomes are associated with structured support following the procedure, not the procedure alone.
A quality ESG provider should offer, at minimum, a nutritional guidance programme during the post-procedure dietary transition, regular clinical check-ins to monitor progress and metabolic markers, and access to a care team for questions and adjustments as they arise.
It’s also worth assessing whether support extends beyond food alone. Sleep quality and stress physiology can influence appetite regulation, recovery, cravings, and blood sugar stability, so programmes that treat behaviour change as a whole-body process (not just a meal plan) often feel more realistic to follow.
Everself’s model includes a 12-month longitudinal care programme that wraps around the ESG procedure. This encompasses registered dietitian support, nurse practitioner access, and where clinically appropriate, GLP-1 medication management. The framing is a long-term health partnership rather than a transactional procedure.
Key questions to ask at your ESG consultation
Before committing to any provider, a useful consultation will give you clear answers to the following.
How many ESG procedures has the performing physician completed? Volume of experience correlates with procedural outcomes in endoscopy. A physician who has performed hundreds of ESGs is in a meaningfully different position to one earlier in their learning curve.
Where is the procedure performed, and what is the facility’s accreditation? Procedures carried out in accredited surgical facilities with appropriate monitoring and emergency protocols are preferable to those in less regulated outpatient settings.
What does post-procedure support include, and for how long? If the answer is a single follow-up appointment, that is worth noting. Twelve months of structured support is a different proposition to a six-week check-in.
What are the candidacy requirements? ESG is generally most appropriate for adults with a BMI in the range of 30 to 40. A thorough clinical assessment should be part of the process before any procedure is recommended.
The role of sleep and stress in ESG outcomes
Sleep quality and stress regulation are not peripheral to weight loss outcomes; they are central to them. Poor sleep can shift hunger hormones in the wrong direction; in sleep-disordered breathing like apnea, ghrelin may rise while leptin signalling becomes less effective, making appetite harder to regulate and weight gain.
Current wellness research increasingly links poor sleep to disrupted hunger hormone regulation, particularly elevated ghrelin (the hormone associated with appetite) and reduced leptin (the hormone associated with satiety). For patients navigating the post-ESG period, when the body is recalibrating its relationship to food and fullness, consistent restorative sleep may meaningfully support the process.
Stress, similarly, activates cortisol pathways that are closely associated with blood sugar instability and increased appetite for energy-dense foods. Building stress management and sleep hygiene into a post-procedure lifestyle plan is a practical complement to the clinical support that a good ESG programme provides.
The bottom line
ESG is a clinically supported, non-surgical option for people in Dallas who want meaningful weight loss without the recovery burden of traditional surgery. The procedure itself is one part of the equation. The quality of the provider, the clinical environment, and the ongoing support structure are what determine whether the results hold.
If you are at the stage of weighing options, starting with a virtual consultation is a low-commitment way to understand whether ESG is appropriate for your specific situation, what the process would look like, and what realistic outcomes might be.
