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Establishment Labs HoldingsESTA -1.48%74 Cyclically Adjusted PB Ratio is 61.36 as of Jul. 14, 2026, which is 27% above its 10-year median of 48.47. GuruFocus rates ESTA with a GF Score™ of 74/100 and a GF Value™ of $61.92 (Significantly Overvalued). The stock has 5 warning signs investors should review. Among 524 Medical Devices & Instruments companies, Establishment Labs Holdings ranks worse than 99.62% on this metric.
The historical rank and industry rank for Establishment Labs Holdings's Cyclically Adjusted PB Ratio or its related term are showing as below:
ESTA'
s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 39.23 Med: 48.47 Max: 62.53
Current: 62.53
During the past 10 years, Establishment Labs Holdings's highest Cyclically Adjusted PB Ratio was 62.53. The lowest was 39.23. And the median was 48.47.
ESTA's Cyclically Adjusted PB Ratio is ranked worse than 99.62% of 524
companies
in the Medical Devices & Instruments industry
Industry Median: 1.8
vs ESTA: 62.53
The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.
Establishment Labs Holdings's adjusted book value per share data of for the fiscal year that ended in Dec25 was $0.804. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is $1.41 for the trailing ten years ended in Dec25.
Shiller PE for Stocks: The True Measure of Stock Valuation
Establishment Labs Holdings (NAS:ESTA) Cyclically Adjusted PB Ratio Explanation
Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.
If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.
Establishment Labs Holdings Cyclically Adjusted PB Ratio Related Terms
Establishment Labs Holdings Cyclically Adjusted PB Ratio Historical Data
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Establishment Labs Holdings Cyclically Adjusted PB Ratio Chart
ESTA vs AXGN, TMDX, BFLY: Cyclically Adjusted PB Ratio Comparison
For the Medical Devices subindustry, Establishment Labs Holdings's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Establishment Labs Holdings Cyclically Adjusted PB Ratio vs Medical Devices & Instruments Industry
For the Medical Devices & Instruments industry and Healthcare sector, Establishment Labs Holdings's Cyclically Adjusted PB Ratio distribution charts can be found below:
* The bar in red indicates where Establishment Labs Holdings's Cyclically Adjusted PB Ratio falls into.
Establishment Labs Holdings Cyclically Adjusted PB Ratio Calculation
Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.
The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.
What does a Cyclically Adjusted PB Ratio of 61.36 mean?
Establishment Labs Holdings (ESTA) has a Cyclically Adjusted PB Ratio of 61.36 as of Jul. 14, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Establishment Labs Holdings and its competitors. This is 27% above median its historical median of 48.47. Over the past decade, Establishment Labs Holdings' Cyclically Adjusted PB Ratio has ranged from 39.23 to 62.53. According to the industry distribution chart, Establishment Labs Holdings ranks #522 out of 524 companies in the Medical Devices & Instruments industry, placing it in the top 99.6%.
Is Establishment Labs Holdings' Cyclically Adjusted PB Ratio too high?
Establishment Labs Holdings' current Cyclically Adjusted PB Ratio of 61.36 is 27% above median its 10-year median of 48.47. Over the past 10 years, this metric has ranged from a low of 39.23 to a high of 62.53. The Medical Devices & Instruments industry median Cyclically Adjusted PB Ratio is 1.80. Establishment Labs Holdings' value of 61.36 is 3308.9% above this industry median. Based on the distribution chart, Establishment Labs Holdings ranks #522 out of 524 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Establishment Labs Holdings has a GF Score™ of 74/100 and is considered Significantly Overvalued, reflecting its overall financial health beyond just this single metric.
How does Establishment Labs Holdings' Cyclically Adjusted PB Ratio compare to AXGN and TMDX?
According to the Medical Devices & Instruments industry distribution chart, Establishment Labs Holdings ranks #522 out of 524 companies for Cyclically Adjusted PB Ratio. This places Establishment Labs Holdings in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.80. Establishment Labs Holdings' value of 61.36 is 3308.9% above this benchmark. Historically, Establishment Labs Holdings' own Cyclically Adjusted PB Ratio has ranged from 39.23 to 62.53 over the past decade. While the company's 10-year median is 48.47 vs. the industry median of 1.80, Establishment Labs Holdings has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Medical Devices & Instruments company?
The median Cyclically Adjusted PB Ratio among Medical Devices & Instruments companies is 1.80, based on 524 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Establishment Labs Holdings's current Cyclically Adjusted PB Ratio of 61.36 is 3308.9% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Establishment Labs Holdings and its competitors. For the Medical Devices & Instruments industry, the median Cyclically Adjusted PB Ratio is 1.80 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Establishment Labs Holdings's current Cyclically Adjusted PB Ratio is 61.36, which is 27% above median its own 10-year median of 48.47. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Establishment Labs Holdings stock overvalued right now?
Based on GuruFocus' analysis, Establishment Labs Holdings (ESTA) is currently considered Significantly Overvalued. The stock's GF Value™ is $61.92, compared to a current price of $86.52 — trading 39.7% above its estimated fair value. The current Cyclically Adjusted PB Ratio is 61.36, which is 27% above median its 10-year median of 48.47 and 3308.9% above the Medical Devices & Instruments industry median of 1.80. Establishment Labs Holdings' overall GF Score™ is 74/100 with 5 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Establishment Labs Holdings (ESTA), the current Cyclically Adjusted PB Ratio is 61.36 as of Jul. 14, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Establishment Labs Holdings (ESTA) Overvalued in 2026?
Based on GuruFocus' analysis, Establishment Labs Holdings stock appears to be overvalued.
The current stock price of $86.52 is trading 39.7% above its estimated GF Value™ of $61.92.
GuruFocus considers Establishment Labs Holdings to be Significantly Overvalued.
Key valuation signals for ESTA:
Cyclically Adjusted PB Ratio: 61.36 (27% above median its 10-year median of 48.47)
GF Value™: $61.92 vs. price of $86.52 (39.7% above fair value)
Industry Position: 3308.9% above the Medical Devices & Instruments median (#522 of 524)
No single metric tells the full story. See the ESTA stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Establishment Labs Holdings Inc is a medical technology company engaged in offering medical devices and aesthetic products. It is involved in the designing, manufacturing, and marketing of silicone-filled breast and body-shaping implants. The company markets its products under Motiva implants Brand. It distributes its products to medical distributors; and physicians, hospitals, and clinics in the form of direct sales. Its geographical segments are Europe, Latin America, Asia-Pacific/Middle East, and Others.
74GF Score
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