Gastric Sleeve Surgery Cost in San Francisco, CA
Gastric Sleeve Surgery in San Francisco typically costs $13,490 to $35,500, with a median price of $22,720. That places San Francisco 42% above the national average for this procedure in 2026.
Get matched with Gastric Sleeve Surgery clinics in San Francisco, CA
Free, no obligation. We send your request to 2-4 verified clinics for quotes and financing options.
How much does gastric sleeve surgery cost in San Francisco, CA in 2026? Gastric Sleeve Surgery in San Francisco, CA costs between $13,490 and $35,500 in 2026, with most patients paying around $22,720 (per surgery (all-in)). This is 42% above the national average (national median: $16,000). Pricing varies based on facility type, hospital stay length, surgeon experience and volume, plus provider experience and facility type.
What Gastric Sleeve Surgery Is
A laparoscopic weight-loss surgery in which approximately 80 percent of the stomach is removed, leaving a banana-shaped tube along the lesser curvature. The procedure is restrictive only (no intestinal rerouting) and is performed under general anesthesia through 4-5 small incisions in the abdomen.
Who It Is For
Adults with BMI 40+ or BMI 35+ with comorbidities such as type 2 diabetes, hypertension, sleep apnea, or non-alcoholic fatty liver disease. Best suited to patients seeking the simpler procedure with strong weight loss results and lower complication rate than bypass. Less appropriate for patients with severe GERD (sleeve can worsen reflux) or extremely high BMI (50+) where duodenal switch may produce better results.
What Is Typically Included in San Francisco Pricing
Most San Francisco-area quotes for Gastric Sleeve Surgery include the items below. Always request a written inclusion list before booking.
- Pre-op psychological and nutritional evaluation
- Pre-op medical clearance
- Surgery and hospital stay (1-2 nights)
- General anesthesia
- Surgeon, anesthesiologist, and surgical team fees
- Post-op follow-up for 1 year (typically 5-7 visits)
- Nutritional counseling
- Multivitamin recommendations
Often Not Included (Verify Before Booking)
- Pre-op weight loss program if required by insurance (6 months supervised dieting typical)
- Long-term nutritional supplementation costs (multivitamin, B12, iron lifelong)
- Plastic surgery for excess skin removal after weight loss
- Mental health counseling for emotional eating or body image
- Conversion to bypass or duodenal switch if needed in future
Procedure Snapshot
- Category
- Bariatric
- Total timeline
- 1 day
- Typical recovery
- 21 days
- National range
- $9,500 - $25,000
- San Francisco range
- $13,490 - $35,500
- Cost unit
- per surgery (all-in)
- Financing common
- Yes
- Evidence level
- FDA-Approved
What Drives Gastric Sleeve Surgery Cost in San Francisco
These factors most commonly move Gastric Sleeve Surgery pricing up or down in the San Francisco market. Ask San Francisco clinics about each item when comparing quotes.
Facility type
MBSAQIP-accredited surgical centers are typically $3,000-$6,000 cheaper than hospital-based bariatric programs at academic medical centers.
Hospital stay length
Single-night stays at high-volume bariatric centers vs 2-3 night stays at academic centers can shift cost by $1,500-$3,500.
Surgeon experience and volume
High-volume bariatric surgeons (300+ cases/year) often charge more but have measurably lower complication rates.
Geographic location
NYC, SF, Boston, and LA bariatric programs run 30-50 percent above mid-size markets in Texas, Florida, and the Southeast.
Mexico medical tourism
Tijuana, Mexicali, and Monterrey packages run $4,500-$8,000 all-in including hospital stay, hotel, and transfers.
Insurance vs cash-pay
Qualifying patients with insurance coverage typically pay $2,000-$5,000 out-of-pocket vs full $14,000-$22,000 cash price.
Insurance and Coverage for Gastric Sleeve Surgery in San Francisco
Bariatric surgery is widely covered by US insurance for patients meeting standard criteria. Most commercial plans, Medicare, and Medicaid cover the procedure at BMI 40+ alone or BMI 35+ with comorbidity. Coverage requires completion of program requirements before approval.
Typical coverage: 80-100% after deductible for qualifying patients; typical out-of-pocket $2,000-$5,000
Prior authorization typically required.
State-specific notes
International Cost Comparison
How Gastric Sleeve Surgery pricing in San Francisco compares to major international medical tourism destinations. Quality, credentialing, and follow-up logistics vary substantially - verification is critical before traveling for care.
| Country / City | Typical Cost | Notes | Pros / Cons |
|---|---|---|---|
| Mexico (Tijuana / Mexicali / Monterrey) | $4,500-$8,000 all-in | The largest bariatric tourism destination for US patients. Established programs include Mexico Bariatric Center, Pompeii Surgical Center, A Lighter Me. US-board-certified or international fellowship-trained surgeons common. | + 50-70% below US cash-pay pricing; one-week package model; high case volume - Travel cost; follow-up logistics; verify MBSAQIP-equivalent accreditation |
| Turkey (Istanbul) | $3,500-$7,000 all-in | Growing bariatric destination, often paired with cosmetic procedures. JCI-accredited hospitals available. | + Aggressive package pricing; high-end hospital facilities - Longer travel from US; time-zone disruption |
| Costa Rica (San José) | $10,000-$14,000 all-in | Premium-positioned medical tourism with US-trained surgeons and English-speaking staff. | + Premium clinic experience; consistent quality; easy US travel - Costs 30-50% more than Mexico for similar outcomes |
| India (Mumbai / Delhi) | $5,000-$9,000 all-in | Long-established medical tourism; major hospitals (Apollo, Fortis) have bariatric programs. | + Comprehensive medical tourism infrastructure; JCI-accredited hospitals - Significant travel from US; time-zone disruption; visa requirements |
Pre-Procedure Checklist
Steps to complete before your scheduled gastric sleeve surgery to maximize outcomes and minimize complications.
- Complete all program requirements: 6 months supervised medical weight loss (if insurance-required)
- Psychological evaluation completed and cleared
- Nutritional counseling completed; understand the lifelong dietary changes required
- Pre-op labs completed within 30 days of surgery: CBC, CMP, HbA1c, lipid panel, EKG, chest x-ray
- Upper GI series or endoscopy completed if indicated
- Sleep study completed if sleep apnea suspected
- Insurance authorization received (if applicable)
- Pre-op 2-week protein liquid diet completed with documented compliance
- Smoking cessation for 6-8 weeks pre-op
- NPO since midnight before surgery
- Arranged for one week of home recovery support
- Bariatric multivitamin and B12 supplementation purchased and ready
How the Procedure Works
Step-by-step overview of Gastric Sleeve Surgery.
- 1
Initial consultation and program enrollment
90-120 minutes initial visit, then 6 monthly follow-ups if insurance-requiredMeet with bariatric surgeon, dietitian, and psychologist. Confirm BMI eligibility, comorbidities, and program requirements. Most insurance plans require 6 months of supervised medical weight loss before approval.
- 2
Pre-op evaluation
4-8 weeks of evaluationsComprehensive medical workup: CBC, comprehensive metabolic panel, HbA1c, lipid panel, EKG, chest x-ray, upper GI series or endoscopy, sleep study if sleep apnea suspected, psychological evaluation, nutritional counseling.
- 3
Pre-op liquid diet
14 days typical2-week (sometimes longer) high-protein liquid diet to shrink the liver and reduce intraoperative complications. Compliance with this phase is critical.
- 4
Day of surgery
60-90 minutes operativeNPO since midnight. General anesthesia. Four to five small laparoscopic incisions. The surgeon staples and removes the lateral 80% of the stomach. Total operative time typically 60-90 minutes.
- 5
Hospital stay
1-2 nightsMost patients spend one night in the hospital, some two. Pain management, early ambulation, sip clear liquids by post-op day 1. Some programs use enhanced recovery protocols (ERAS) for same-day discharge in selected patients.
- 6
Stage 1 diet (clear liquids)
Days 1-7Sugar-free clear liquids only for the first week. Focus on hydration and protein from clear protein drinks.
- 7
Stage 2 diet (full liquids)
Weeks 2-3Add protein shakes, broth-based soups, sugar-free yogurt. Continue building protein intake to 60-80g daily.
- 8
Stage 3 diet (pureed foods)
Weeks 4-5Pureed lean proteins, mashed vegetables, blended foods. Continue protein focus.
- 9
Stage 4 diet (soft foods)
Weeks 6-8Soft meats, soft vegetables, transitioning to regular textures. Most patients can resume work by week 2-3.
- 10
Stage 5 diet (regular foods)
Week 9 onwardFull transition to regular textures with focus on protein first, vegetables second, complex carbs last. Lifelong dietary pattern: ~1,000-1,200 calories/day with 60-80g protein.
Recovery Timeline
What to expect day by day and month by month after Gastric Sleeve Surgery.
Aftercare and Long-Term Maintenance
Recommended care after gastric sleeve surgery to maintain results and prevent complications.
Patient Experience: What to Expect
Composite patient experiences across stages of the gastric sleeve surgery journey, drawn from aggregated reported experiences and clinical observation.
Most patients describe the pre-op phase as the hardest part emotionally. Six months of supervised weight loss can feel slow and unrewarding when surgery is the goal. Patients who use this time to build the lifelong dietary habits required post-op have substantially better long-term outcomes than those who treat it as a hurdle to clear.
The 2-week protein liquid diet is widely described as the worst phase of the entire process. Hunger is significant, energy drops, and some patients experience headaches. Compliance is critical for liver shrinkage. Most patients report this phase being more difficult than the actual surgery recovery.
Patients are anxious before the procedure but most report waking up in recovery feeling less pain than expected. The hospital stay is short (1-2 nights typically). Early ambulation is encouraged, often within hours of surgery. Most patients are able to walk and sip clear liquids by post-op day 1.
Fatigue is significant. Most patients sleep more than usual and have low energy. Clear liquid diet is monotonous but tolerable. Pain at incision sites is well-managed with prescribed medication. Most patients describe the first week as easier than expected but with substantial fatigue.
The rapid weight loss phase is the most rewarding period. Patients often lose 60-80% of their total weight loss in the first 6 months. Energy returns and exceeds pre-op levels by months 3-4. Clothes shopping becomes a frequent activity. Most patients describe feeling lighter, more energetic, and more optimistic.
Weight loss slows from 5-10 lbs/month to 2-5 lbs/month. Many patients hit a plateau around month 9-12. Some experience hair shedding (typically peaks at month 3-4 and recovers by month 6-9). Excess skin becomes noticeable.
The challenge shifts from losing weight to maintaining the loss. Some patients regain 5-15% of lost weight, particularly if they revert to old eating patterns. Patients who maintain meal structure, protein focus, and exercise generally sustain results. Mental and emotional adjustments to the new body can take years.
Long-term satisfaction is high among compliant patients. Most patients describe the surgery as a transformative life decision that improved health, mobility, energy, and quality of life. Comorbidities (diabetes, hypertension, sleep apnea) often remain in remission. Some patients pursue body contouring plastic surgery for excess skin.
Risks and Complications
Documented risks and their typical frequency in published clinical data.
Staple line leak
rareApproximately 1-2% of cases. The most serious early complication. Occurs when the stomach staple line does not heal properly, allowing stomach contents to leak into the abdomen. Typically presents in first 5-10 days post-op with fever, abdominal pain, or tachycardia. Requires emergency intervention, often re-operation. Higher rates at low-volume centers.
Bleeding
uncommon1-3% of cases. Can occur from the staple line or from a vessel during surgery. Typically managed conservatively but may require transfusion or re-operation.
Stricture
uncommon1-3% of cases. Narrowing at the staple line that prevents food from passing. Presents weeks to months post-op with persistent vomiting. Treated by endoscopic dilation; rarely requires revision surgery.
GERD/reflux worsening
common20-30% of patients develop new or worsened gastroesophageal reflux post-sleeve. Some respond to PPI medication; severe cases may require conversion to gastric bypass.
Venous thromboembolism (DVT/PE)
rare0.3-0.5% of cases. Blood clots in the leg veins (DVT) that can travel to the lungs (PE). Prevented with mechanical compression, early ambulation, and prophylactic anticoagulation.
Nutritional deficiency
common over timeWithout consistent supplementation, B12 deficiency develops in 25-30% of sleeve patients within 5 years. Iron deficiency anemia in 10-20% of menstruating women. Vitamin D deficiency common. Prevented by lifelong multivitamin + B12 + iron supplementation.
Weight regain
commonAbout 30-40% of sleeve patients experience meaningful weight regain (10-20% of lost weight) by year 5. Driven by stomach pouch stretching, dietary patterns, and behavioral factors. Some patients pursue conversion to bypass for regain.
Perioperative mortality
rare0.1-0.2% in healthy patients at MBSAQIP-accredited centers. Higher in patients with severe comorbidities or super-obese BMI 60+.
Financing Gastric Sleeve Surgery in San Francisco
Most San Francisco-area clinics offering Gastric Sleeve Surgery accept patient financing through CareCredit, Alphaeon Credit, or Proceed Finance. Below are estimated monthly payments for the San Francisco median cost of $22,720. Actual rates depend on credit profile and approval.
Financing Options at $22,720
Estimated monthly payments for the median cost. Actual rates depend on credit and provider.
| Provider | Term | Est. APR | Est. Monthly | Apply |
|---|---|---|---|---|
| CareCredit | 24 months | 17.9% | $1,133.18/mo | Check rate → |
| Alphaeon Credit | 36 months | 14.9% | $786.48/mo | Check rate → |
| Proceed Finance | 60 months | 12.9% | $515.79/mo | Check rate → |
ProcedureFinder may earn a commission from financing applications. Full disclosures.
Alternatives to Gastric Sleeve Surgery
Other approaches to the same condition or goal, with cost and tradeoff comparisons.
Gastric bypass (Roux-en-Y)
Restrictive + malabsorptive procedure with higher weight loss (60-65% sustained vs 50-55% for sleeve at 5 years) and better diabetes remission. More complex surgery, higher complication rate, more nutritional supplementation required.
Duodenal switch (SADI-S, BPD-DS)
Most aggressive procedure with highest weight loss (70-80% sustained at 5 years). Reserved for super-obese BMI 50+ patients. Highest complication rate and most demanding lifelong supplementation requirement.
GLP-1 medications (Wegovy, Zepbound)
Non-surgical option with 14-21% body weight loss in trials. Reversible (weight returns on discontinuation in most patients). No surgical risk. Ongoing $4,000-$15,000/year medication cost.
Gastric balloon (Orbera, Spatz)
Endoscopic non-surgical option. Saline-filled balloon placed for 6 months. Weight loss 15-25 lbs typical, often regained after removal. Reversible.
Endoscopic sleeve gastroplasty (ESG)
Non-surgical sleeve created via endoscope. No incisions. Weight loss 15-20% body weight typical, less than surgical sleeve. Reversible.
Medical weight loss program (no medication or surgery)
Structured behavioral and dietary intervention. Average 5-10% weight loss at 1 year with high regain rates. Appropriate first-line for BMI under 35.
Gastric Sleeve Surgery Cost Comparison Across Metros
See how Gastric Sleeve Surgery pricing in San Francisco compares to nearby and major US markets.
Provider Credentials Guide for Gastric Sleeve Surgery
Which credentials matter most when selecting a San Francisco provider for gastric sleeve surgery, and how to verify them.
Board certification in General Surgery (American Board of Surgery)
criticalHow to verify: Verify via the American Board of Surgery certification check tool at absurgery.org. Required for any bariatric surgeon.
Fellowship training in bariatric or metabolic surgery
criticalHow to verify: Most accredited bariatric fellowships are listed on the Fellowship Council website. Specifically ask about the surgeon's fellowship institution and year completed.
MBSAQIP accreditation of the practice facility
criticalHow to verify: Search the MBSAQIP-accredited facility directory at facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program.
Annual bariatric case volume (200+ ideal, 100+ minimum)
criticalHow to verify: Ask the surgeon directly: how many bariatric cases performed in the past 12 months? High-volume bariatric surgeons have substantially better outcomes than low-volume.
ASMBS membership (American Society for Metabolic and Bariatric Surgery)
helpfulHow to verify: Membership signals ongoing engagement with the specialty. Verify at asmbs.org.
Multidisciplinary team (dietitian, psychologist, exercise physiologist)
importantHow to verify: Quality bariatric programs include in-house or affiliated dietitian and psychological evaluation. A standalone surgeon without this support team is concerning.
Red Flags When Choosing a San Francisco Clinic
Patterns to watch for when comparing Gastric Sleeve Surgery providers.
- No MBSAQIP accreditation (the bariatric quality accreditation in the US)
- Surgeon performs fewer than 100 bariatric cases per year
- No formal pre-op psychological evaluation
- No structured pre-op nutritional counseling
- Same-day or rushed approval without comprehensive medical workup
- No clear protocol for managing post-op complications
- Cash-pay pricing dramatically below market without explanation ($6,000 or less in the US is concerning)
- No long-term follow-up plan beyond 6-12 months
- High-pressure sales tactics or "limited time" pricing
- No discussion of when sleeve is NOT the right procedure (signals revenue-driven recommendation)
Questions to Ask Any San Francisco Provider
Use this list during consultations. Reputable providers will answer all of them clearly and in writing.
- How many sleeve gastrectomies have you performed in the past 12 months?
- What is your facility leak rate, conversion rate, and reoperation rate?
- What is your protocol for severe GERD post-op?
- What is included in the quoted price - pre-op evaluations, hospital stay, anesthesia, follow-ups?
- How do you handle complications - is there 24/7 coverage?
- What is your weight regain rate at 2 and 5 years, and what do you do about it?
- Are you MBSAQIP-accredited?
- What is your conversion to bypass rate for inadequate weight loss or severe reflux?
- What nutritional supplementation protocol do you recommend?
- Can you provide patient references or case studies from the past 12 months?
Frequently Asked Questions
Answers to the most-searched questions about Gastric Sleeve Surgery cost and treatment.
How much does gastric sleeve cost in 2026? +
US cash-pay gastric sleeve runs $9,500 to $25,000 all-in, with a national median of approximately $16,000. This includes pre-op evaluations, surgery, hospital stay, anesthesia, and 1 year of follow-up. With qualifying insurance, out-of-pocket cost is typically $2,000 to $5,000. Mexico medical tourism (Tijuana, Mexicali, Monterrey) runs $4,500 to $8,000 all-in including hotel and transfers.
Does insurance cover gastric sleeve? +
Most commercial insurance plans, Medicare, and Medicaid cover gastric sleeve for patients meeting criteria: BMI 40+ alone, or BMI 35+ with comorbidity (type 2 diabetes, hypertension, sleep apnea, severe joint disease). Requires documented 6 months of supervised medical weight loss, psychological evaluation, and demonstrated post-op compliance commitment. Approximately 80% of bariatric programs at in-network surgeons are insurance-covered for qualifying patients.
How much weight will I lose with gastric sleeve? +
Average sleeve patient loses 55-65% of excess weight in year 1. For a 270-pound patient with ideal weight of 150 (120 lbs excess), that is approximately 70 lbs lost in year 1, reaching 200 lbs. Year 5: 50-55% sustained. Year 10: 45-50% sustained for compliant patients. 30-40% of patients experience meaningful regain by year 5 if they do not maintain behavioral changes.
Is gastric sleeve reversible? +
No. The 80% of stomach removed is permanently discarded and cannot be replaced. The sleeve can be converted to gastric bypass or duodenal switch if needed (for inadequate weight loss, severe reflux, or weight regain), but the original anatomy cannot be restored.
Is gastric sleeve safer than gastric bypass? +
Yes for most measures. Sleeve has lower perioperative complication rate (2-3% vs 3-5% for bypass), lower perioperative mortality (0.1-0.2% vs 0.2-0.3%), shorter operative time, and less demanding lifelong nutritional supplementation. Bypass produces somewhat more weight loss and better diabetes remission, but at higher surgical risk.
How long is recovery from gastric sleeve? +
Most patients return to non-physical work in 1-2 weeks. Full recovery takes 4-6 weeks for most activities. Lifting restrictions typically lift at 4-6 weeks. Most rapid weight loss occurs in months 1-6. Full diet progression through stages 1-5 takes 8-10 weeks.
Can I drink alcohol after gastric sleeve? +
Alcohol is absorbed faster and stronger after sleeve due to smaller stomach and altered absorption. Most programs recommend avoiding alcohol entirely for the first 6 months and limiting it long-term. New alcohol use disorder develops in 5-7% of bariatric patients post-op.
Will I have loose skin after gastric sleeve? +
Most patients who lose 50+ pounds develop excess skin, particularly on the abdomen, thighs, arms, and breasts. Severity depends on starting weight, age, genetics, and skin elasticity. Body contouring plastic surgery (panniculectomy, abdominoplasty, brachioplasty) is common after weight stabilization. Cost: $10,000-$25,000 typical, rarely covered by insurance unless medical necessity documented.
Is gastric sleeve safer in Mexico? +
Established Mexico bariatric programs (Mexico Bariatric Center, Pompeii Surgical Center, others) have safety records comparable to mid-tier US programs. Quality safeguards: verify MBSAQIP equivalent accreditation, surgeon credentials and case volume, on-site emergency complication handling, and JCI hospital accreditation if available. Budget $1,000-$2,500 buffer for potential follow-up care.
Can I get gastric sleeve if my BMI is under 35? +
Most insurance plans require BMI 40+ alone or BMI 35+ with comorbidity. Cash-pay or Mexico medical tourism patients can receive sleeve at lower BMI (some programs accept BMI 30-35), but evidence for benefit at lower BMI is more limited. GLP-1 medications may be more appropriate first-line for BMI under 35.
How much does gastric sleeve cost in Mexico? +
Established Mexico bariatric programs charge $4,500 to $8,000 all-in for gastric sleeve. This typically includes surgery, 2-3 night hospital stay, pre-op tests, hotel for recovery, transfers from airport, and post-op care. Most patients fly in Tuesday, have surgery Wednesday, and fly home Sunday or Monday.
What is the diet like after gastric sleeve? +
Lifelong dietary pattern: 1,000-1,200 calories/day with 60-80g protein, ~30g carbs, focus on protein first at every meal. Smaller portion sizes (typically 4-8oz per meal). Avoid drinking liquids with meals (causes dumping). Avoid carbonated beverages (stretch the pouch). Lifelong multivitamin + B12 + iron supplementation.
What happens if I regain weight after gastric sleeve? +
Some weight regain (5-15% of lost weight) is typical in years 2-5. For patients with significant regain (30%+ of lost weight returned), options include: behavioral intervention with bariatric program, GLP-1 medication addition (Wegovy or Zepbound), conversion to gastric bypass or duodenal switch (most effective for regain but adds surgical risk), or endoscopic revisional procedures.
Glossary of Terms
Key terminology used throughout this page.
- BMI (Body Mass Index)
- Weight in kilograms divided by height in meters squared. BMI 40+ alone, or BMI 35+ with comorbidity, are the standard insurance criteria for bariatric surgery.
- MBSAQIP
- Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. The US bariatric quality accreditation administered jointly by ACS and ASMBS. Quality bariatric facilities are MBSAQIP-accredited.
- Ghrelin
- The "hunger hormone" produced primarily by the stomach. Sleeve gastrectomy removes the portion of stomach that produces most ghrelin, contributing to appetite suppression after surgery beyond just restriction.
- Dumping syndrome
- A constellation of symptoms (nausea, sweating, palpitations, diarrhea) that occurs when food moves too quickly through the digestive tract. More common after gastric bypass than sleeve, but can occur after sleeve.
- Staple line leak
- The most serious early complication of sleeve gastrectomy. Occurs when the stomach staple line does not heal properly, allowing gastric contents to leak into the abdomen. Requires emergency intervention.
- Conversion procedure
- A second surgery to convert a sleeve to a more aggressive procedure (gastric bypass or duodenal switch) for patients with inadequate weight loss, severe reflux, or weight regain.
- Excess weight loss (EWL)
- A standard bariatric outcome measure: percent of excess weight lost. Sleeve gastrectomy typically produces 55-65% EWL at 1 year. For a 270-pound patient with ideal weight of 150 (120 lbs excess), 60% EWL = 72 lbs lost.
- Pre-op liquid diet
- Two-week (sometimes longer) high-protein liquid diet required before bariatric surgery. Purpose: shrink the liver to make surgery safer. Compliance is critical.
Head-to-Head Comparisons
Compare Gastric Sleeve Surgery directly to alternatives, with cost, evidence, and outcome side-by-side.
Clinical Outcome Data
Published outcome metrics for Gastric Sleeve Surgery drawn from peer-reviewed clinical literature and registry data.
Sources
Clinical evidence cited on this page. ProcedureFinder sources primary clinical research, FDA records, and major professional society guidelines.
- American Society for Metabolic and Bariatric Surgery 2025 Outcomes Registry. (US bariatric surgery volume and outcomes data)
- Courcoulas AP et al. "Bariatric Surgery vs Lifestyle Intervention Long-term Follow-up." JAMA Surgery, 2024. (Long-term weight loss durability)
- Adams TD et al. "Long-term mortality after gastric bypass surgery." NEJM, 2007 (long-term follow-up published 2017). (Mortality and cardiovascular benefit data)
- Schauer PR et al. "Bariatric Surgery versus Intensive Medical Therapy for Diabetes (STAMPEDE)." NEJM, 2017. (Diabetes remission and metabolic outcomes)
- MBSAQIP Standards Manual, current 2026. (US bariatric accreditation requirements)
- Felsenreich DM et al. "10+ Year Outcomes After Sleeve Gastrectomy: A Systematic Review." Obesity Surgery, 2024. (Long-term sleeve gastrectomy outcomes)
How We Calculate San Francisco Pricing
The price ranges shown reflect cash-pay (out-of-pocket) pricing observed across San Francisco-area providers, adjusted for the local cost index of 1.42x the national average. National benchmark data is blended from provider price surveys, published procedure pricing, and patient-reported costs. Pricing reflects 2026 data and is updated quarterly.
Read our full methodology →Medical Disclaimer
The information on this page is educational. It is not medical advice and does not substitute for evaluation by a licensed provider. Cost ranges are estimates; individual quotes vary. Always consult a qualified clinician before making medical decisions.
More Bariatric Resources
Ready to compare San Francisco providers?
Get matched with 2 to 4 verified gastric sleeve surgery providers in San Francisco. Free, no obligation, no spam.