A physician-led weight loss clinic in Silom, Bangkok. Every option compared, who each one suits, starting prices, the five-step pathway, and what international patients should plan for.
Contents
Key Takeaways
- YOUNIFY Clinic, a Healthy Aging & Wellness Center based in Bangkok, Thailand, provides physician-led weight and metabolic care from its clinic in Silom, central Bangkok. The options available here range from structured lifestyle and nutrition management, through GLP-1 medication under prescription and monitoring, to an intragastric balloon, Endoscopic Sleeve Gastroplasty (ESG), and bariatric surgery. This page brings all of them together in one place, with the criteria used to choose between them, starting prices, and the pathway from first consultation through the follow-up year.
- What this page does not do is rank one option above another. Each is designed for a different situation, and two people at the same weight can receive different recommendations once comorbidities, treatment history, and personal goals are taken into account.
The weight management options available at the clinic
| Option | How it works, in brief | Who it tends to suit | Is it ongoing | Price |
|---|---|---|---|---|
| Supervised lifestyle and nutrition management | Assessment of body composition, eating patterns, sleep, and movement, followed by a plan that works in real daily life, guided by a dietitian and the medical team | Everyone, since it underpins every option that follows and is the starting point for people who have not yet tried structured treatment | Ongoing, and it accompanies every other option | Assessed after consultation; no fixed price is published |
| GLP-1 receptor agonist medication | Injectable treatment acting on hormonal and satiety signalling, which slows gastric emptying and reduces appetite. Generic names include semaglutide and tirzepatide | People who prefer to begin without a procedure, and people whose metabolic indications the prescribing physician judges suitable | Continuing by design; the effect lasts while treatment continues | Not published on this page; determined individually by the prescribing physician |
| Intragastric balloon | A balloon placed in the stomach endoscopically, temporarily reducing the volume available for food, then removed at the end of the period set by the physician | People who want to begin with a reversible procedure, and people who want to try something before committing to anything more lasting | A temporary device that must be removed, so the plan for afterwards is set in advance | Starting from THB 159,000 |
| ESG, Endoscopic Sleeve Gastroplasty (flagship) | Performed through the mouth with an endoscope and a dedicated suturing device that folds and stitches the stomach wall from the inside into a narrower, tube-like shape. No stomach tissue is removed, there are no abdominal incisions, and no device is left in the body | People who want a change that stays without ongoing medication, people who cannot tolerate medication side effects, and people planning for the period after stopping medication | The sutures stay, and follow-up together with behavioral care continues alongside | Starting from THB 490,000 |
| Bariatric surgery (gastric sleeve or gastric bypass) | Laparoscopic surgery that alters the structure of the digestive tract, performed in an operating theater under general anesthesia by the surgical team | People for whom the surgical team confirms an indication for surgery, usually where weight or comorbidities place other options out of range | The change to the anatomy is not reversed, and vitamin supplementation with long-term follow-up is directed by the medical team | Starting from THB 350,000 (gastric sleeve) · starting from THB 449,000 (gastric bypass) |
Every figure above is a starting price. The final figure depends on assessment findings and the treatment plan, and it is confirmed in writing before any decision is made. For GLP-1 medication we do not publish a price, because dose, duration, and titration differ from person to person, and prescribing sits with the physician assessing you.
For ESG we use one consistent wording across every channel: typically around 15 to 20% of total body weight within one year; results vary by individual. That figure reflects the procedure combined with behavioral change and follow-up, not the procedure alone.
How to choose: four decision criteria
1. What your weight goal actually is
The amount of weight to be lost is the first question the medical team asks, because meaningfully different goals lead to different paths. A modest reduction may begin with structured lifestyle management. Where excess weight is substantial and comorbidities are already present, starting with something more involved can be the more reasonable use of time. The point to watch is setting a goal from the number on the scale alone, without looking at body composition and muscle mass alongside it.
2. Whether you are willing to have a procedure
This question is straightforward, and no answer to it is wrong. Some people do not want any procedure at this stage, which is a position worth respecting and one that still has options behind it. Others want a single intervention rather than a treatment repeated every week. That difference separates the medication path from the procedural path in the first consultation, and it leaves the rest of the appointment for the questions that matter more.
3. Whether you want a change that stays, or can commit to continuing treatment
GLP-1 medication is a continuing treatment by design, and the effect lasts while it is taken, which suits people who accept the monthly cost structure and the monitoring that come with it. A balloon is a temporary device that must be removed, so the plan for afterwards belongs at the start rather than at the end. ESG and surgery change the stomach itself, so the effect stays without ongoing medication. None of the three is superior in principle, and all three produce a different daily life.
4. What health conditions you carry alongside weight
Type 2 diabetes, obstructive sleep apnea, fatty liver disease, high blood pressure, weight-related knee pain, and fertility difficulties all change the weight of the decision. In some cases a comorbidity makes one path more appropriate. In others it means a path is deferred until the condition is better controlled. This is the reason assessment comes before choosing, rather than after you have already chosen.
These four criteria are not ranked, and none of them settles the question alone. What happens in the consulting room is that the medical team holds all four answers together, then proposes the options that fit the whole picture for you to decide between.
The five-step pathway
1. Consultation and assessment with the medical team A full weight history, what has been tried before and what came of it, current medications including any weight-management medication, comorbidities, and your actual goal. Patients living abroad can begin this step by remote consultation before traveling.
2. The investigations your chosen path requires Typically blood tests, and for procedures involving sedation or anesthesia, a chest X-ray, an electrocardiogram, and cardiology assessment where indicated. For endoscopic options, a diagnostic gastroscopy to assess the current anatomy is part of planning rather than an optional extra.
3. A plan agreed together, and a written quotation The medical team sets out the recommended approach with the reasoning, the limitations, and what preparation is involved, then issues a written quotation stating what is included. If assessment shows that something further is needed, it is quoted in writing beforehand, never added afterwards.
4. The day of the procedure Preparation is confirmed in advance, covering fasting and any adjustment to regular medication. Afterwards you receive written aftercare instructions, a list of the symptoms that mean returning to the clinic straight away, and a direct line to the clinical team.
5. Follow-up through the first year The first year is when the effect is clearest and when new habits are actually set. Scheduled reviews, attention to nutrition and muscle mass, and adjustment of the plan as circumstances change are part of the treatment rather than an addition to it.
For patients traveling from abroad
Remote assessment before you fly. Send your weight history, current height and weight, your current medication list, and any previous test or endoscopy reports. The medical team arranges a video consultation and provides the plan and a written quotation before you book flights. The purpose is that you know what you are traveling into beforehand, rather than discovering it on arrival.
How long to stay in Bangkok. After ESG we recommend remaining in Bangkok for seven to ten days, followed by a review with your physician before traveling on or flying home. The principle is simple: you stay within easy reach of the clinic through the window in which any problem would most likely show itself, and you are seen in person rather than assessed over the phone. Other options carry different timelines, and the medical team confirms yours before you book.
Getting to us. The clinic is at United Center on Silom Road, a five-minute walk from BTS Sala Daeng. The surrounding district offers hotels and short-stay accommodation across a range of price points within walking distance, which keeps the first week of follow-up appointments from becoming a logistical burden.
The medical team and the standards we work to
Weight care at YOUNIFY Clinic is delivered by a physician-led team working across disciplines: gastrointestinal endoscopy, surgery, and dietetics. Each plan comes from a joint assessment rather than from a procedure decided in advance.
For ESG the medical team uses the Apollo ESG System, and for revision after a previous bariatric procedure it is used together with the Apollo REVISE System, which is designed for endoscopic revision. The clinic works with internationally recognized techniques and standards, and every procedure is performed under the care of the medical team.
Read next
Obesity and weight management · ESG: the main guide · Who is suitable for ESG · ESG vs gastric balloon · ESG or GLP-1: which first · ESG cost and value · ESG cost guide for Thailand · Long-term results after ESG · ESG safety and side effects
Frequently Asked Questions
How much does a weight loss clinic in Bangkok cost?
It depends on the option. At YOUNIFY Clinic an intragastric balloon is priced starting from THB 159,000, Endoscopic Sleeve Gastroplasty starting from THB 490,000, a gastric sleeve starting from THB 350,000, and a gastric bypass starting from THB 449,000. Every figure is a starting price and is confirmed in writing after assessment. For GLP-1 medication we do not publish a price, because it depends on the treatment plan set individually by the prescribing physician.
What non-surgical weight loss options are available?
The clinic offers three non-surgical paths: supervised lifestyle and nutrition management, GLP-1 medication under prescription and monitoring, and endoscopic procedures, of which there are two. An intragastric balloon is a temporary device that must be removed, while Endoscopic Sleeve Gastroplasty involves no abdominal incisions and leaves no device in the body. Which path suits you is assessed individually by the medical team.
How long do I need to stay in Thailand if I travel from abroad?
After ESG we recommend remaining in Bangkok for seven to ten days, followed by a review with your physician before traveling on or flying home. That period covers the window in which any problem would most likely show itself and keeps you within easy reach of the clinic. Other options carry different timelines, and the medical team confirms yours before you book flights.
How much weight is lost with ESG?
Typically around 15 to 20% of total body weight within one year, and results vary by individual. That figure reflects the procedure combined with behavioral change and follow-up with the medical team, not the procedure on its own.
What BMI do I need for ESG?
The 2024 ASGE-ESGE guideline considers endoscopic bariatric therapy for people with a BMI of 30 or above, or a BMI of 27.0 to 29.9 with at least one obesity-related condition, alongside lifestyle modification. The actual decision follows history taking, physical examination, and a diagnostic gastroscopy.
How much do weight loss injections cost at the clinic?
We do not publish prices for GLP-1 medication, because dose, duration, and titration differ from person to person, and prescribing sits with the physician assessing you. The medical team confirms the cost in writing after your consultation.
Will I need to have the treatment repeated?
That depends on the option. GLP-1 medication is continuing by design, and the effect lasts while it is taken. A balloon is a temporary device removed at the end of the period set by the physician. With ESG the sutures stay, without ongoing medication. Every option requires follow-up and behavioral care alongside it.
Where is the clinic and what are the opening hours?
YOUNIFY Clinic is at 2nd Floor, Room 214, United Center Building, 323 Silom Road, Silom, Bang Rak, Bangkok 10500, Thailand, a five-minute walk from BTS Sala Daeng. We are open daily from 11:00 to 20:00 Bangkok time. For questions or an initial assessment, contact us on WhatsApp at +66 81 556 9696 or by email at [email protected].
Medical Note
This article is for general information and does not replace medical examination, diagnosis, or treatment. If symptoms are severe, changing quickly, or urgent, seek medical care promptly.
Individual results may vary. Please consult a doctor before treatment.
Want to know which care plan fits you?
Share your symptoms, health history, medications or prior procedures, and personal goals. Our team can help arrange a medical assessment.
Consult YOUNIFY Clinic