1555.1 – Endoscopic sleeve gastroplasty for the treatment of patients with Class I and II obesity who have failed first line (lifestyle modification) and second line (pharmacotherapy) treatments

Page last updated: 05 April 2022

Application Detail

Description of Medical Service

Endoscopic sleeve gastroplasty (ESG) is a bariatric surgical procedure. ESG is an incisionless transoral endoscopic procedure that uses a full-thickness endoscopic suturing system to reduce the stomach volume into a tubular gastric cavity. The gastroplasty is created using an endoscopic suturing device fitted to an endoscope. The ESG procedure restricts the length of a stomach by up to 50% and reduces its volume by 75%. This reduction in stomach size will restrict the quantity of food a person can eat as well as initiate physiologic alterations that assist in weight loss and maintenance of weight loss.

Description of Medical Condition

Obesity refers to excess body weight. Obesity can be measured using the body mass index (BMI). Class I obesity refers to patients who have a BMI 30 ≤35kg/mē. Class II obesity refers to patients who have a BMI 35 ≥40 kg/mē. Obesity is associated with an increased risk of variety of significant comorbidities which may include diabetes, cardiovascular disease and liver disease which may have a significant impact on quality of life

Reason for Application

New MBS item

Medical Service Type


Previous Application Number


Associated Documentation

Application Form

Application Form (PDF 1724 KB)
Application Form (Word 2082 KB)

Consultation Survey

Consultation Survey (PDF 690 KB)
Consultation Survey (Word 72 KB)

PASC Consultation
Consultation closed

MSAC Consultation
MSAC Consultation TBA – please subscribe to the MSAC Email Bulletin to be notified when consultation opens for this application

For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation process please refer to MSAC Consultation Process

PICO Confirmation

PICO Confirmation (PDF 727 KB)
PICO Confirmation (Word 299 KB)

Assessment Report


Public Summary Document


Meetings for this Application


9-10 December 2021