For UK adults with a BMI of 30–40 who are done waiting

Lose the Weight — Without Losing Your Stomach, or 2 Years on an NHS List

The incisionless sleeve — a clinically studied endoscopic procedure, done in a single day at an EU-standard medical centre. No cuts. No scars. No "come back when you're sicker." Most people are back at their desk in 3 days — from ~£5,900, all-in.

Book a free consultation →

EU-standard medical centre Apollo OverStitch™ system 12 months follow-up included English-speaking team

Happy, healthy woman in her thirties smiling at home

~60 min

single-day procedure

15–20%

avg. total body weight lost within 12 months*

70–80%

reduction in stomach volume

incisions, cuts or external scars

Here's the trap

Too "light" for the NHS. Surgery on the NHS needs a BMI of 40+ — or 35+ and a diagnosed disease like type 2 diabetes. If you're "only" moderately overweight, the answer is: not yet.

Even if you qualify — you wait. A ~12-month programme first, then a surgical queue. Referral to operation now runs 22–34 months in much of the country. Up to three years.

Go private in the UK, and it's £9,000–£13,000 — and most procedures cut out or reroute your stomach. Permanent. Irreversible. Lifelong vitamins.

The jabs? £150–£200 a month — forever — and the weight tends to return when you stop.

Too light for free surgery. Not willing to be cut open. Not willing to inject yourself for the rest of your life.

Sound familiar? There's a fourth door.

The new opportunity

Meet the Incisionless Sleeve.

It's called Endoscopic Sleeve Gastroplasty (ESG) — we call it The Levia Sleeve™. No knife. No keyhole. No abdomen touched at all.

While you're asleep, a specialist passes a slim camera through your mouth and places a row of internal stitches that fold your stomach into a narrow tube — reducing its volume by around 70–80%. You feel full on far less food.

Doctor discussing the procedure with a patient in a bright clinic

The Old Way (surgical sleeve)

The Levia Sleeve™ (ESG)

Part of your stomach cut out & binned

Nothing removed — folded, not cut

Permanent, irreversible

Reversible & adjustable

External incisions + scars

Zero incisions, zero scars

Nights in hospital

Day procedure (~60 min)

Weeks off work · lifelong vitamins

Back to normal in ~2–3 days

The evidence — read this carefully

This isn't experimental. It's peer-reviewed, FDA-cleared, and published in The Lancet.

A new procedure deserves scepticism — so here is the actual science, not marketing. Endoscopic Sleeve Gastroplasty has been through the same evidence pipeline as any accepted medical treatment: randomised controlled trials, regulatory clearance, and endorsement by the field's global governing body.

49.2%

excess weight loss at 52 weeks in the MERIT randomised trial — vs 3.2% for lifestyle changes alone.

68%

of MERIT patients still held ≥25% excess weight loss at two years — the loss lasts.

1.5–2.3%

reported major-complication rate — vs 12–18% for the surgical gastric sleeve.

2022

the year the US FDA cleared the Apollo ESG system for exactly this procedure.

Randomised controlled trial

The MERIT trial — a multicentre randomised controlled trial, the highest tier of clinical evidence — was published in The Lancet in 2022. It compared ESG against lifestyle modification alone in people with class 1–2 obesity and showed large, durable weight loss plus improvements in blood-sugar and blood-pressure markers.

Regulator-cleared device

The procedure uses the Apollo OverStitch™ endoscopic suturing system — the same technology used in leading academic hospitals worldwide. In July 2022 it received FDA clearance specifically for endoscopic sleeve gastroplasty. This is a regulated medical device, not an off-label improvisation.

Backed by the global body

The International Federation for the Surgery of Obesity (IFSO) — the world governing body for obesity procedures — endorses ESG as an effective treatment for class 1–2 obesity (BMI 30–40). Independent meta-analyses report an average 15–16% of total body weight lost by 12 months.

So this isn't fringe. It's an established, evidence-based procedure — just barely offered in the UK, and where it is, it costs £9,000–£13,000.

Sources: MERIT trial, The Lancet (2022); US FDA de novo clearance of the Apollo ESG system (July 2022); IFSO Bariatric Endoscopy Committee position on ESG; published meta-analyses of ESG total-body-weight-loss outcomes. Figures describe study populations; individual results vary and depend on following the programme.

See it explained

The Levia Sleeve™, in 2 minutes.

A short walkthrough of how the incisionless procedure works — no cuts, no keyhole, no abdomen touched at all.

The procedure, step by step

One day. Six simple steps.

STEP 1

Anaesthesia

You're placed under safe, controlled general anaesthesia for the whole procedure.

STEP 2

Endoscope inserted

A flexible camera is passed through the mouth into the stomach — no external cuts or scars.

STEP 3

Internal stitches placed

A row of sutures is created inside the stomach with the Apollo OverStitch™ system.

STEP 4

Stomach folded smaller

The stomach volume is reduced by around 70–80%, so you feel full on far less food.

STEP 5

~45–60 minutes

The procedure is fast and efficient — a same-day, day-case treatment.

STEP 6

Home & recovering

Most people are back to normal in ~2–3 days, with 12 months of follow-up built in.

Is the Levia Sleeve™ right for you?

✓ Likely a fit if you…

✓Have a BMI around 30–40
✓Have tried diets, apps or medication and it hasn't stuck
✓Don't qualify for NHS surgery — or refuse to wait years
✓Want real weight loss without your stomach removed
✓Can commit to a genuine change in how you eat

✕ Not for you if you…

✕Are looking for a magic fix with no lifestyle change
✕Have certain stomach conditions (large hiatal hernia, active ulcers, prior stomach surgery)
✕Aren't willing to follow the 12-month nutrition programme

Not sure which side you're on? That's exactly what the free assessment is for.

2-minute check

BMI Calculator

Ideal BMI for the Levia Sleeve™ is 30–40. Enter your height and weight to see where you sit — no email required.

Height

172 cm

Weight

95 kg

Your BMI

32.1

—

Book a free consultation →

BMI is one indicator only. Suitability is confirmed by a clinician at your free assessment. This is information, not medical advice.

One fixed price

Everything you get — in one number.

Most UK clinics quote "from £X" and bolt on scans, aftercare and dietitian fees until it's £12,000+. We don't. One number. Everything below included:

What's included

If bought separately

The Levia Sleeve™ procedure (Apollo OverStitch™, full anaesthesia, theatre)

£9,000+

Gastroenterologist consultation + endoscopic assessment

£600

Your own English-speaking client manager (booking, travel, translation, WhatsApp support)

£750

Registered dietitian + custom 12-month nutrition plan

£900

Psychological readiness evaluation

£350

Anaesthetist consultation & monitoring

£400

12 months of remote doctor follow-up

£1,200

BONUS — "First 30 Days" recovery playbook

£150

BONUS — Private patient community + monthly group check-in

£300

Total value £14,650+

Your price today

€6,750 — about £5,900

All-in. No surprises. Financing available.

Check If You Qualify → (2-min, free)

NHS

"Free" — if you hit BMI 40, survive a year of pre-programme and a 2–3 year queue. Time isn't free.

Private UK ESG

£9,000–£13,000 — you'd pay £3,000–£7,000 more for the same procedure.

The jabs

£175/month = £2,100 a year — every year, with the weight likely back the moment you stop.

Same technology. Same Apollo system. German–Latvian medical standards. Thousands less — and years faster.

You risk nothing to find out.

Your assessment is free. If our specialists review your case and decide the Levia Sleeve™ isn't safe or suitable for you, you pay nothing — and any deposit is refunded in full. We'd rather turn you away than take on a patient we can't help well. You'll speak to a real clinician before you ever book a flight.

We can't promise a specific number on the scales — nobody honest can. What we promise is a proper medical assessment, a fixed all-in price with no hidden extras, and a team that answers you in English for a full year after.

Why Riga? Why this centre?

01
A German–Latvian medical centre operating to EU clinical standards — not a pop-up clinic.
02
Apollo OverStitch™ — the same FDA-cleared suturing system used in top centres worldwide.
03
2.5 hours from London. Cheaper flights than a train to most of the UK. Fly in, procedure next day, fly home.
04
English, throughout. Your client manager handles everything from first message to 12-month check-in.
05
Follow-up built in. A full year of remote doctor follow-up — you're never abandoned after you land back home.

The three questions everyone asks.

"Does it actually work?"

Not a gadget — a clinically studied procedure. The MERIT trial in The Lancet and the 2024 IFSO position statement support ESG for class I–II obesity, with average total-body-weight loss of 15–20% at 12 months. It works as a tool, paired with the nutrition programme we build around you. Individual results vary.

"Is it safe to do abroad?"

The procedure is incisionless, done under full anaesthesia in a licensed EU medical centre, with a low reported major-complication rate. There's no wound to get infected because there's no wound. And with 12 months of follow-up, you're supported long after you land back in the UK.

"Can I justify the cost?"

You're comparing it to the wrong thing. It's not £5,900 vs £0. It's £5,900 once vs £9k–£13k private, vs £2,100/year of jabs forever, vs three years of your life on a waiting list. Financing available if you'd rather spread it.

Frequently asked questions

How long am I in Riga?+

Typically 2–3 days. Procedure day is a day-case — most people go home the same evening or next morning.

Does it hurt / will I have scars?+

No incisions, so no external scars. Expect a few days of mild nausea or tummy ache, managed with medication.

How much weight will I lose?+

Studies show an average of 15–20% of total body weight at 12 months. Your result depends on you and the plan — which is exactly why the programme and follow-up are included. Individual results vary.

Is it reversible?+

In many cases the sutures can be adjusted or removed. Unlike the surgical sleeve, no stomach is permanently removed.

Can I get this on the NHS?+

For BMI 30–40 without a qualifying illness — realistically, no. That's the gap this fills.

What if I'm not eligible?+

You find out at the free assessment, and you pay nothing.

Can I pay monthly?+

Yes — financing options are available.

Limited monthly intake

We take a limited number of UK patients each month.

The centre runs a fixed number of Levia Sleeve™ procedures per month, and each patient gets a dedicated manager — so places are genuinely limited. When the month's slots are gone, you wait for the next intake.

If you've been stuck in the middle — too light for free surgery, unwilling to be cut open, done with jabs — this is the door.

The NHS list isn't getting shorter and the jabs aren't getting cheaper. The assessment is free, and there's a full refund if you're not a fit. Start there.

Check if you qualify

Free, 2 minutes, no obligation. A clinician reviews your case before anything else.