About 3 weeks ago I had an endoscopic gastric sleeve—no incision. It was done as out-patient surgery and things went well. I had nausea and vomiting the next 2 days, but almost no pain. In 3 weeks I’ve lost almost 20 pounds. Also, no pre-op diet other than the day before surgery. I’ve been happy with my decision as I only missed one day of work as my surgery was in a Friday. The cost is considerably lower as there is no overnight stay and my insurance would not pay.