X0609 4 2026-04-02 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001254555 SCHUTTER EDWARD J false C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 0 Common Shares 2026-04-02 4 M 0 36780 A 175382 D Stock Option (Right to buy) 4.11 2026-04-02 4 M 0 36780 0 D 2026-08-31 Common Shares 36780 0 D The reported shares were acquired upon the cash exercise of a stock option at an exercise price of $4.11 per share. One half of the shares subject to the option vested on October 1, 2016 and one sixth of the shares subject to the option vested on each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/ Cassandra "Sandra" Harris 2026-04-02