The German Artificial Sphincter System (GASS) project aims at the development of an implantable sphincter prosthesis driven by a micropump. During the last few years the feasibility of the concept has been proven. At present our team’s effort is focused on the compliance to safety regulations and on a very low power consumption of the system as a whole. Therefore a low-voltage multilayer piezoactuator has been developed to reduce the driving voltage of the micropump from approximately 300 Vpp to 40 Vpp. Doing so, the driving voltage is within the limits set by the regulations for active implants. The operation of the micropump at lower voltages, achieved using multilayer piezoactuators, has already resulted in a much better power efficiency. Nevertheless, in order to further reduce power consumption, we have also developed an innovative driving technique that we are going to describe and compare to other driving systems. A direct switching circuit has been developed where the buffer capacitor of the step-up converter has been replaced by the equivalent capacitance of the actuator itself. This avoids the switching of the buffer capacitor to the actuator, which would result in a very low efficiency. Usually, a piezoactuator needs a bipolar voltage drive to achieve maximum displacement. In our concept, the voltage inversion across the actuator is done using an h-bridge circuit, allowing the employment of one step-up converter only. The charge stored in the actuator is then partially recovered by means of a step-down converter which stores back the energy at the battery voltage level. The power consumption measurements of our concept are compared to a conventional driving output stage and also with inductive charge recovery circuits. In particular, the main advantage, compared to the latter systems, consists in the small inductors needed for the power converter. Other charge recovery techniques require very big inductors in order to have a significant power reduction with the capacitive loads we use in our application. With our design we will be able to achieve approximately 55% reduction in power consumption compared to the simplest conventional driver and 15% reduction compared to a charge recovery driver.