Endoscopic sleeve gastroplasty is one of the newer, incision-less, weight-loss procedures that reduces the size of your stomach. It is a fairly simple procedure where an endoscope (a thin flexible tube with a camera and a suturing device) is passed through your mouth into your stomach. The size and shape of your stomach is then altered by a few strategically placed stiches making it physically impossible to have a large meal. The procedure is done under general anesthesia so you will not feel a thing. The total time taken is about 1-1/2 hours, after which you will be monitored in the recovery room for any complications. Most likely, you will be able to leave the hospital on the very same day!