guarantee
Bariatric Operations in Aba: Who They Suit
Lose 30–70 kg
for good — no diets, no regaining the weight
14,000 CMC patients already live in a transformed body. Your result is locked into an official contract — legally, beyond just words.
patients
experience
from excess weight
rating
Bariatric Operations in Aba: Who They Suit
for good — no diets, no regaining the weight
Everything for the result — included
Bariatric surgery —
is it right for me?
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Everything needed for the result —
already included
Hidden fees? None. Surprises? None. One package, full route.
Bariatric surgery —
is it right for me?
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Results of our patients
Real before and after photos of City Medical Centre patients. Results are individual.
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
Reasons to see a surgeon
Related conditions, not just a high BMI, can be grounds for a surgical consultation
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Over several years, diets and medication gave no result that lasted.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Over several years, diets and medication gave no result that lasted.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional means
Why don't diets and exercise work for everyone?
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional means
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Why don't diets and exercise work for everyone?
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
Medical indications
for bariatric surgery
With chronic diseases, please get advice from a clinic doctor!
Indications
Excess weight
Type 2 diabetes
Hypertension
Sleep apnea
Joint disease
Varicose veins
Fatty liver disease
Reproductive health problems
Contraindications
Age under 18
Malignant tumors
Less than six months since breastfeeding ended
Acute illness or flare-ups of chronic disease
Severe chronic and mental illness
Blood clotting disorders
Pregnancy
Bariatric surgery methods at City Medical Centre
Sleeve gastrectomy
In the operation the surgeon removes most of the stomach, leaving a narrow tube. Portions become much smaller and levels of ghrelin, the hunger hormone, fall, so the patient feels full far sooner and eats less.
Effectiveness: the method is appropriate for a BMI of 35 to 45. Average loss of excess weight is 60–70%.
Specifics: the result is less durable than with bypass operations. If the diet is not followed, especially with high-calorie drinks and liquid food, the weight can return.
Roux-en-Y gastric bypass
A 50–70 ml pouch is formed at the upper end of the stomach and linked directly to the small intestine. It limits food intake and lowers calorie absorption because food moves along a shorter stretch of the gut.
Effectiveness: this operation is seen as the “gold standard” with a BMI above 45–50 and type 2 diabetes. Excess weight falls by up to 75–85%.
Specifics: the result lasts better than with other bariatric methods. Related conditions such as diabetes and hypertension often go into remission. Because the digestive anatomy changes, lifelong vitamin and mineral supplements are needed.
Mini gastric bypass (MGB)
This is an enhanced form of the classic bypass. The standard method differs: here the surgeon makes only one connection (anastomosis) between the small stomach and the small intestine. Thanks to the simpler technique, the patient has an easier time and recovers faster.
Effectiveness: in line with the classic Roux-en-Y bypass — loss of up to 75–80% of excess weight.
Specifics: quicker surgery and a speedier recovery. The procedure is technically reversible; however, the single anastomosis creates a bile reflux risk.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S combines the advantages of sleeve gastrectomy and intestinal bypass in one modern technique. It is done in two stages: stage one makes the stomach a narrow tube; stage two reroutes the small intestine so that most of it is excluded from active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
Specifics: removing the ghrelin-producing zone makes the stomach smaller and lowers appetite, while rerouting food around part of the intestine restricts calorie absorption. Indicated for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after an ineffective sleeve.
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Preparing for bariatric surgery at City Medical Centre
The first step is a surgeon's consultation covering medical history, method selection and recovery plan
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Our specialists
Bariatric surgeons with deep experience and real care for patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Mercy clinic training under Vadim Gushchin; speaker at the World Congress of bariatric surgery (2025). Among the co-authors of an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Holds the country's record for the number of SASJ operations performed. Member of the expert council of the national Society of Bariatric Surgeons; a regular speaker at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
The approach to obesity at City Medical Centre is comprehensive. Following an initial examination, a personal diagnostic program — lab and instrumental — is drawn up for each patient to detect every disorder in the body.
A method matched to your goal
Our doctors tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.
Support that stays in touch
The City Medical Centre team keeps supporting you after the operation. All through the first year, specialists track how your weight drops, check your tests and handle every question on diet and recovery.
Fast recovery
City Medical Centre's bariatric operations are laparoscopic, so recovery is much shorter. On day one most patients are already up and moving, and within a week they return to normal life.
Full diagnostics on site
Forget going between clinics. Everything for your work-up is here, including our own lab, ultrasound and gastroscopy. Preparation is quick and queue-free, all in a single building.
Recovery after bariatric surgery
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase as short as possible.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Frequently asked questions
about bariatric surgery at CMC
Bariatric vs plastic surgery: what's the difference?
The two are often mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies the body's outer contours; it does not treat obesity or affect metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Modern laparoscopic technique is what we use. Just 4 small punctures of 5 to 15 mm are needed for the operation. Cosmetic sutures mean the marks are nearly invisible after healing.
What diet do I need to follow?
Your meals progress in stages: liquid food, soft food, then solid. The stress is on protein and on reducing high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre offers four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is chosen individually according to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.
Do I need to take vitamins after surgery?
Yes, vitamins after bariatric surgery are a must. Because the digestive anatomy changes, the body absorbs some nutrients less well, so regular vitamin and mineral supplements become a permanent part of the patient's life.
Can the weight come back?
Regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, no high-calorie drinks and regular follow-up visits with City Medical Centre specialists make the difference.
Prices
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Other services at our clinic
Choosing a bariatric method in Aba
Mini gastric bypass is an improved version of the classic operation with a single connection between the small stomach and the intestine. The technique is simpler, recovery shorter, and weight loss reaches 75–80% of excess weight. It is technically reversible, but bile reflux is a possible risk. For people from Aba, the surgeon explains such trade-offs before any decision.
It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Aba then complete a work-up — blood and urine tests, biochemistry, HbA1c, coagulation, chest X-ray, ECG, abdominal and kidney ultrasound, leg vein Doppler and a required gastroscopy — plus consultations with a GP, endocrinologist, psychiatrist, cardiologist and, for women, a gynecologist.
What sets this programme apart is a result guarantee written into an official contract: weight loss is fixed legally, not just in words. Surgeons have 9–27 years in the field and work as a permanent team. Aba residents can tick the situations that sound familiar on the page and then check their case for free with a surgeon.
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