Dr. Gary Gamme
MD MPH FRCSC FACS DABOM
Clinic Director and Co-founder
Bariatric surgeon with advanced training in metabolic and obesity medicine.
Training and publicationsYou've lost weight before.This time, plan for keeping it off.
If the weight came back, the plan fell short, not you. SmartSleeveMD pairs endoscopic and surgical procedures with two years of built-in follow-up and aftercare, plus 3+ more years of medical, nutrition, and behavioural support, all included in your procedure price, so the change has support behind it.
Start where you are
Which of these sounds like you?
Pick the one closest to your situation. We'll show you the options built for it, and tell you plainly at your consultation if a procedure isn't the right fit.
I lost weight on a GLP-1 and I'm worried about keeping it off.ESG, with medication support
I had a gastric bypass years ago and the weight came back.TORe and revision options
I've tried every diet, and I don't want surgery.Endoscopic sleeve (ESG)
I want something temporary before committing.Intragastric balloon
My BMI is over 40 and I have diabetes or other conditions.Surgical options
I'm not ready for a procedure.Medical care with WeightSimple
Why results fade
Weight that stays off usually needs three things working together.
A procedure alone changes one of them. Our clinic and our medical partner WeightSimple cover all three, before and after your procedure.
Your stomach
Procedure teamAn endoscopic or surgical procedure changes how much you can eat and how quickly you feel full.
Your hunger signals
Physicians and nurse practitionersAppetite is driven by hormones and biology. Where clinically appropriate, medication management helps with the signals a procedure doesn't reach.
Your daily habits
Dietitians and behavioural specialistsPortions, pace, and routines are rebuilt with a registered dietitian and behavioural support while the change is new.
We don't stop at the procedure. The care before it and the years after it are part of the plan.
Six main procedures
ESGEndoscopic Sleeve Gastroplasty15 to 20%typical loss
TOReTransoral Outlet Reduction7 to 10%typical loss
BalloonIntragastric Balloon5 to 7%typical loss
The procedure varies. The care around it doesn't.
Endoscopic options work through the mouth, with no external incisions. Surgical options use small keyhole incisions. Your surgeon recommends one based on your health, history, and goals.
EndoscopicNo incisions, through the mouth
ESGEndoscopic Sleeve Gastroplasty15 to 20%typical lossTOReTransoral Outlet Reduction7 to 10%typical lossBalloonIntragastric Balloon5 to 7%typical lossWeight-loss ranges are typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary.
Your care journey
Your first two years, stage by stage.
Not a single appointment. Step through each stage to see where you'll be, and what your care team is doing.
ConsultationStage 1 of 8
Before anything
A conversation, not a commitment.
Where you'll be
- A free consultation, by video or in person
- We review your weight history and what you've already tried
- You hear which options fit, and which don't
What your team is doing
- A surgeon reviews your candidacy
- Our coordinator explains costs and financing
- You get written information to take home
Throughout: a direct line to your care coordinator, and virtual follow-ups wherever you live in Ontario.
See your full care journey, with preparation and recovery details
Your physicians
Fellowship-trained, and in your corner.
Dr. Fady Saleh
MD MPH FRCSC
Clinic Co-founder
Fellowship-trained minimally invasive surgeon with a background in public health and health system leadership.
Training and publicationsDr. Jerry Dang
MD PhD FRCSC FACS FASMBS
Consultant Surgical Endoscopist
Surgical endoscopist with research experience in endoscopic bariatric procedures, including ESG.
Training and publicationsWhere your procedure happens
Two teams. One seamless experience.
All SmartSleeveMD procedures are performed at Clinic 360, a private surgical facility in Toronto's Leaside neighbourhood. Our surgeons and the Clinic 360 team plan together, work side by side in the operating room, and hand your care back to your follow-up team without gaps.
10,000 sq ftprivate surgical facility in Leaside, Toronto
Dedicatedsurgical wing, equipped with backup power
Same-daydischarge for most endoscopic procedures
A decade+of combined surgical, anesthesia, and nursing experience
Clinic 360, 1131A Leslie Street, Unit 300, Toronto, ON M3C 3L8.
Not ready for a procedure?
You can start with medical care, from home.
A procedure isn't the right first step for everyone. If you're below the usual BMI range, prefer to try medication first, or simply aren't ready, WeightSimple offers doctor-led weight care that's fully virtual.
If you decide on a procedure later, the same care team can continue with you, and your progress comes with you.
What WeightSimple includes
- Obesity medicine physicians who assess you and build your plan
- GLP-1 and GIP medications, when clinically appropriate, provided at cost
- A registered dietitian and custom meal plans
- A registered psychologist for behavioural support, and a psychiatrist if needed
- Remote patient monitoring with connected devices
- Insurance concierge to help with claims
- 100% virtual, with no clinic visits needed
What happens when you book
You'll know exactly what you're walking into.
Your consultation is free, virtual or in person, and carries no obligation.
- You reach out
Book online or call. We ask your height, weight, and a few screening questions.
- You pick the format
Video, or in person at our Brampton or Mississauga clinic. Reschedule whenever you need to.
- We review your history
What you've tried, your health conditions, and what you want the next year to look like.
- Your options, explained
Which procedures fit, the costs, and the care plan. If none fit, we'll say so.
- You decide, later
You leave with written information and take the time you need.
Book your free consultation
Enter your details, then choose a time with our patient care coordinator, right here on this page.
Prefer to talk first? Call 1 (833) 370-0316
- 1Your details
- 2Choose a time