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Establishment Labs Holdings Inc (ESTA) fair value: what the stock is really worth

As of Nov 10, 2026: fair value (intrinsic value) of Establishment Labs Holdings Inc stock $39.37, price $67.23, that is 41.4% below the price, quality 39 out of 100. Rating: strongly overvalued. The value is an estimate: none of our valuation models currently carries, it draws on revenue and assets compared with similar companies. Updated daily.

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Healthcare US · ISIN VGG312491084

EL Establishment Labs Holdings Inc logo Thin data Nov 11, 2026

Establishment Labs Holdings Inc

ESTA · US
Very expensive, weak quality

Our calculation puts a fair price 41% below what the stock costs today.

Revenue last quarter +32% vs. a year ago.
Expensive Growth (revenue 5y +20.0 %/yr in USD)
Fair value $39.37 · Strongly overvalued
Quality 39/100
Loss-making · -14.6% net margin (TTM)
High debt
Negative free cash flow
Trails peers (1/9)
Narrow moat 0/100
Thin data
Estimate
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26 valuation models 8 families, DCF to NCAV 37 quality factors margins, balance sheet, cashflow, debt 6 AI factors moat, what no ratio measures 2,000+ data points verified, per stock, median

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Price vs Fair Value

$95.65 $21.68 Fair Value $39.37 Aug 2021 Nov 2026

White line = price, green steps = our fair value per fiscal year. As of Nov 11, 2026.

How to read this chart

60‑month range $21.68 – $95.65 · fair‑value band $29.52 – $49.21 · the $67.23 price screens above the $39.37 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). As of Nov 11, 2026.

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Company profile

Establishment Labs Holdings Inc., a medical technology company, manufactures and markets medical devices for breast aesthetic and reconstructive plastic surgeries in Europe, the Middle East, Africa, Latin America, Asia, and the United States.

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The company offers silicone gel-filled breast implants under the Motiva Implants brand. It also provides breast tissue expanders. The company sells products to physicians, hospitals, and clinics through distributors and its direct sales force.

Establishment Labs Holdings Inc. was incorporated in 2004 and is based in Austin, Texas.

Stock analysis

Establishment Labs Holdings Inc (ESTA) currently trades at $67.23, while our estimate is $39.37, 41% below the price, so the stock looks overvalued today.

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Valuation

None of our valuation models currently carries for this company, usually because of losses or heavy investment. The estimate draws on revenue and assets compared with similar companies and is less precise than a model-based fair value.

Scenario range: $29.52 (bear) to $49.21 (bull), the price of $67.23 sits above it. Bear and bull are the same models on cautious and optimistic assumptions, a range, not a price target.

Quality & growth

The Quality Score stands at 39/100 (below-average quality), in the Healthcare sector.

Expensive Growth: The company is growing, but growth may require heavy reinvestment or weak cash conversion.

Establishment Labs Holdings Inc reported revenue of $211M in FY2025 versus $127M in FY2021, a compound +13.6%/yr. Reported net income was −$51.1M in FY2025.

Key figures

Market cap $2.0B Mid · P/S ratio 7.73 · EPS (TTM) $−1.27 · Net margin −14.6% · Return on equity −241% · Return on assets (EBIT) −17.3% (5-year average) · Operating margin −3.6% · Revenue (TTM) $264M.

What moves the price

The share trades about 30% below its 52-week high and 23% above its 52-week low, currently below its 200-day average.

For context, the median of 10 Healthcare peers we cover trades at 9% fair-value upside, at −41%, ESTA screens richer than that median.

Fair Value

Bear $29.52 Fair Value $39.37 Bull $49.21
Price $67.23 · Downside -41.4%
Estimate. None of our valuation models currently carries for this company, usually because of losses or heavy investment. The estimate draws on revenue and assets compared with similar companies and is less precise than a model-based fair value.

Quality Score breakdown

Overall quality 39/100

It rates the business: profits, how they develop, real cash, balance sheet, investing and share count.

Profitability 23
How much profit the company makes from its sales and capital
Quality Growth 97
Are margins and returns getting better?
Cashflow 11
Do the profits arrive as real cash?
Financial strength 36
Debt, balance sheet and risk of trouble
Investment 49
Does it invest with discipline instead of growing at any price?
Low Volatility 42
How calm the share price moves, does not count
Price momentum 32
Price momentum of the last 3 to 12 months, does not count
Near the 52-week high 34
Distance to the 52-week high, does not count
New shares 44
Buys back shares or issues new ones?

Open the full quality analysis →

Insider trades

In the last 6 months, no officer or director bought or sold shares on the open market.

  • SaleJW Partners, LPOther90,533 shares at $73.31$6.6MMay 28, 2026
  • SaleJW GP, LLC10% owner20,579 shares at $71.25$1.5MMay 21, 2026
  • SaleJW Asset Management, LLC10% owner60,000 shares at $75.63$4.5MMay 6, 2026
  • SaleQuiros Juan Jose ChaconDirector6× since Mar 23, 2026: 330,000 shares, avg. $69.25$22.9MMay 6, 202610b5-1 plan

Plus 17 other filings such as grants, option exercises or tax withholding. They are not market purchases or sales.

Sales are often planned (taxes, diversification, 10b5-1 plans). Purchases with their own money are seen as the stronger sign. For information only: not part of the quality score or Fair Value.

Source: SEC Form 4, as of Nov 9, 2026. All filings at the SEC ↗

Revenue & earnings trend

Growth Quality ⓘGrowth is valuable only when reinvestment earns attractive returns (Aswath Damodaran): sustainable growth depends on return on capital, reinvestment and efficiency. Basis: total company revenue over the periods shown on the cards (3Y/5Y/all years), not per share, so a merger can show up as a growth jump; per-share earnings growth is in the value-creation card. 44/100
The company is growing, but growth may require heavy reinvestment or weak cash conversion.
Revenue growth 1 year
+27.1%
Revenue growth 3 years ⓘMeasures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump. Per-share growth (which does include buybacks) is in the value-creation card.
+9.3%
Revenue growth 5 years ⓘMeasures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump. Per-share growth (which does include buybacks) is in the value-creation card.
+20.0%
Start year 2020 (pandemic). Over 10 years: +36.2% a year
Revenue growth 10 years ⓘMeasures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump. Per-share growth (which does include buybacks) is in the value-creation card.
+36.2%
Profit margin (trend) ⓘOperating margin then vs now, from reported annual statements. A falling margin after a boom year is the classic peak-earnings signal: the growth rate then leans on an inflated base.
−33.0% (2020) → −18.5% (2025)
What shareholders gained per year ⓘWe only publish this rate when it is defensible. Reason: fiscal 2025 is a loss year, no rate is defined from a loss
not computed

ESTA screens overvalued: fair value 41% below the price. Compare with Abbott Laboratories, →

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Peer GroupⓘHow this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.Medical Devices · 399 stocks

Beats the industry median on 1/8 measures
Overall it trails its industry peers.
Valuation
Quality Score 39 · Below median
Fair Value upside −42.5% · Bottom 25%
Profitability
Return on assets −14.3% · Below median
Net margin (12 months) −15.8% · Below median
Operating margin (12 months) −6.4% · Below median
Growth and dividend
Revenue growth (quarter YoY) 31.7% · Top 25%
Balance sheet
Debt / equity 10.51× · Highest 25%

Valuation Multiplesvs Medical Devices median · lower = cheaper

P/S (12 months) 8.40× · Priciest 25%

Strength profile in five axes (Snowflake)

VALUEFUTUREPASTHEALTHDIVIDEND
This stock
VALUEFUTUREPASTHEALTHDIVIDEND
Sector peers
VALUE (fair-value potential)0 · sector 17
FUTURE (revenue growth)100 · sector 43
PAST (return on equity)0 · sector 0
HEALTH (low debt)0 · sector 97
DIVIDEND (yield)0 · sector 34

VALUE 0: the price sits above our fair-value range.

Context: sector, industry, market

Values & ESG

Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.

None of the checked exposures detected

Similar stocks

10 more Medical Devices stocks, each showing price versus our Fair Value estimate.

Stock Price Fair Value vs Fair Value Compare
Shenzhen Mindray Bio-Medical Electronics Co 300760 ¥178.92 ¥202.57 +13% vs ESTA
Stryker Corporation SYK $325.73 $358.46 +10% vs ESTA
Boston Scientific Corporation BSX $44.02 $48.42 +10% vs ESTA
DexCom, Inc DXCM $81.07 $89.18 +10% vs ESTA
STERIS plc STE $256.94 $279.53 +9% vs ESTA
GE HealthCare Technologies Inc GEHC $84.03 $69.92 −17% vs ESTA
Edwards Lifesciences Corporation EW $104.71 $81.94 −22% vs ESTA
Abbott Laboratories, ABT $110.51 $75.28 −32% vs ESTA
Medtronic plc MDT $102.79 $65.61 −36% vs ESTA
Koninklijke Philips N.V PHIA €27.06 €15.23 −44% vs ESTA

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Establishment Labs Holdings Inc: fair value per Fair Value Calculator

Cite: Fair Value Calculator (2026). "Establishment Labs Holdings Inc Fair Value". https://www.fairvalue-calculator.com/stock/ESTA

Frequently asked questions

Is Establishment Labs Holdings Inc (ESTA) overvalued or undervalued?
As of Nov 11, 2026, our estimate of fair value is $39.37 versus a price of $67.23, about 41% lower (overvalued).
What is the fair value of ESTA?
Our estimate for Establishment Labs Holdings Inc is $39.37 (as of Nov 11, 2026), built from audited fundamentals. The current price: $67.23.
What is the quality score of ESTA?
Establishment Labs Holdings Inc has a Quality Score of 39/100. It measures business quality (profitability, growth, cash flow, balance-sheet strength, investment discipline, share issuance). Market factors such as price momentum and volatility do not enter the number; they are shown separately in the detail view.
What is the price target for Establishment Labs Holdings Inc (ESTA)?
Our calculated price target is the estimate of $39.37 (as of Nov 11, 2026). Cautious scenario $29.52, optimistic scenario $49.21. It is an estimate from revenue and assets compared with similar companies, because none of our valuation models currently carries, not an analyst target.
What is the Establishment Labs Holdings Inc stock forecast for 2026?
Our estimate puts fair value at $39.37, about 41% lower versus a price of $67.23 (overvalued). Cautious scenario $29.52, optimistic scenario $49.21. The calculation is refreshed regularly with new filings.
What is the revenue of Establishment Labs Holdings Inc (ESTA)?
Establishment Labs Holdings Inc reported trailing-twelve-month revenue of about $264M (latest available figure, as of Nov 11, 2026).
What is the intrinsic value of Establishment Labs Holdings Inc (ESTA)?
Intrinsic value and fair value mean the same thing: what the business is worth on its numbers, independent of the share price. For Establishment Labs Holdings Inc it is $39.37 per share (as of Nov 11, 2026), against a price of $67.23.
Is Establishment Labs Holdings Inc stock overvalued or undervalued in 2026?
As of Nov 11, 2026, ESTA trades above its calculated fair value: price $67.23, fair value $39.37, a gap of about −41% (overvalued). The calculation is refreshed with each new quarterly report, so the verdict can change during the year.
Is fair value the same as the market price of ESTA?
No. The price is what the market pays today ($67.23); the fair value is what the company's own numbers justify ($39.37). For Establishment Labs Holdings Inc the two are $27.86 per share apart. That gap is exactly why we show both numbers side by side.
How much is Establishment Labs Holdings Inc worth?
The market values Establishment Labs Holdings Inc at about $2.0B (market capitalisation, as of Nov 11, 2026). Per share that is $67.23; our models calculate a fair value of $39.37 per share.
What do the bullish and bearish scenarios say about ESTA?
Our models span a range for Establishment Labs Holdings Inc: cautious scenario $29.52, base $39.37, optimistic $49.21 per share (as of Nov 11, 2026, price $67.23). The range comes from different growth and margin assumptions, not from analyst opinions.
How solid is the balance sheet of Establishment Labs Holdings Inc (ESTA)?
Balance-sheet figures for Establishment Labs Holdings Inc (as of Nov 11, 2026): return on equity −175.3%, debt of 10.51 per unit of equity. They feed the Quality Score of 39/100, which measures business quality independently of the share price.
How far is ESTA from its 52-week high?
Establishment Labs Holdings Inc trades at $67.23, about 30% below its 52-week high of $95.65 and 23% above the low of $54.69 (as of Nov 10, 2026). Distance from the high says nothing about value: that is what the fair value of $39.37 is for.
Which stocks are comparable to Establishment Labs Holdings Inc?
From the same area (Healthcare) we also value Abbott Laboratories,, Medtronic plc, Stryker Corporation, Boston Scientific Corporation, among others. Each of them has its own fair-value calculation on this site using the same models, so the comparison is like for like.
Is Establishment Labs Holdings Inc stock attractive at the current price?
The data as of Nov 11, 2026: price $67.23, calculated fair value $39.37 (−41%), Quality Score 39/100. Whether that fits your horizon and risk tolerance is your call. We provide the calculation, not investment advice.
Is it still worth investing in stocks now?
The global stock market currently sits 13.7% above its aggregate fair value. Establishment Labs Holdings Inc itself currently trades above fair value. An expensive market is no reason to stay out and no reason to buy everything at once: keep a broad savings plan running, buy single stocks only with money you can do without, and hold part of your money liquid while the market is high. The full picture including sectors is on is it worth investing now.
What is the share price of Establishment Labs Holdings Inc (ESTA)?
The closing price on Nov 10, 2026 was $67.23. Our estimate is $39.37, about 41% lower (overvalued). We carry closing prices from our data provider, not a live tick.
What should I pay attention to with Establishment Labs Holdings Inc right now?
The price sits above even our optimistic bull case ($49.21). The favourable scenario is already priced in. Weak quality (39/100) and above fair value at the same time, the margin of safety is missing on both counts. The large gap to fair value rests on thin data (low evidence): fewer applicable models and a shorter history. Read it with extra caution.

Key figures of Establishment Labs Holdings Inc

How large is the market capitalisation of Establishment Labs Holdings Inc (ESTA)?
The market capitalisation of Establishment Labs Holdings Inc is $2.0B. The stock-market value of the whole company: share price times number of shares. It is what the market asks for the entire business today.
What is the P/S ratio of Establishment Labs Holdings Inc (ESTA)?
The price-to-sales ratio of Establishment Labs Holdings Inc is 7.73 (last twelve months). Price to sales: market value relative to yearly revenue. Useful when profit is thin or distorted.
What are the earnings per share of Establishment Labs Holdings Inc (ESTA)?
Earnings per share at Establishment Labs Holdings Inc are $−1.27. Earnings per share over the last twelve months: total profit spread across every single share.
What is the net margin of Establishment Labs Holdings Inc (ESTA)?
The net margin of Establishment Labs Holdings Inc is −14.6% (last twelve months). How much of every unit of revenue ends up as profit. 10% means 10 cents of profit per dollar of sales.
What is the return on equity of Establishment Labs Holdings Inc (ESTA)?
The return on equity (ROE) of Establishment Labs Holdings Inc is −241% (last twelve months). Profit relative to shareholders' equity, how efficiently the company works with its owners' money.
What is the EBIT return on assets of Establishment Labs Holdings Inc (ESTA)?
On an EBIT basis the return on assets of Establishment Labs Holdings Inc is −17.3% (avg 5y). Operating profit (EBIT) relative to everything the company owns, as a multi-year average. It describes the business model rather than one good or bad year.
What is the operating margin of Establishment Labs Holdings Inc (ESTA)?
The operating margin of Establishment Labs Holdings Inc is −3.6% (last twelve months). Profit from the core business (before interest and taxes) relative to revenue.
How fast is revenue growing at Establishment Labs Holdings Inc (ESTA)?
Revenue at Establishment Labs Holdings Inc is growing +33.9% versus a year earlier (3y avg +9.3%). How much revenue grew versus a year earlier (YoY). The 3-year average next to it puts the single year in context.
How much free cash flow does Establishment Labs Holdings Inc (ESTA) generate?
The free cash flow of Establishment Labs Holdings Inc is −$57.6M (fiscal year 2025). The cash truly left after running and investing in the business, this is what pays dividends and buybacks.
How much net debt does Establishment Labs Holdings Inc (ESTA) carry?
The net debt of Establishment Labs Holdings Inc is $189M (fiscal year 2025). Debt minus cash on hand. The note shows how many years of free cash flow could in theory pay it off.
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