14,000 CMC patients already live in a new body. The outcome is set down in a formal contract: legally binding, not just promised.
Bariatric Surgery for Patients from Abeokuta
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden fees. No surprises. One package — the full journey.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Both a high BMI and associated conditions can make a surgical consultation worthwhile
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Diets and medication have brought no lasting result over several years.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Diets and medication have brought no lasting result over several years.
Surgery is prescribed only when clear criteria are met
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
Key factors
The role of body mass index (BMI)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Why don't diets and exercise work for everyone?
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
Chronic illness? Please talk to a doctor at the clinic first!
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

Sleeve gastrectomy
Most of the stomach is removed during surgery, and what remains becomes a narrow tube. This cuts portion size significantly and reduces ghrelin, the hormone of hunger, so patients feel full sooner and eat less.
Effectiveness: the method is appropriate for a BMI of 35 to 45. Average loss of excess weight is 60–70%.
Specifics: bypass operations give a more durable result. Should the diet be ignored, especially with high-calorie drinks and liquid food, weight can return.

Roux-en-Y gastric bypass
Using the top of the stomach, the surgeon creates a small 50–70 ml pouch joined directly to the small intestine. This limits intake and reduces the calories absorbed by cutting short the journey of food through 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 is more durable than with other bariatric techniques. Diabetes, hypertension and similar related conditions often enter remission. The changed digestive anatomy means lifelong vitamin and mineral supplements.

Mini gastric bypass (MGB)
A modified version of the classic bypass. Unlike the standard operation, just one connection (anastomosis) joins the small stomach and the small intestine. The technique is simpler, so it is easier on the patient and recovery takes less time.
Effectiveness: comparable to the classic Roux-en-Y bypass — patients lose up to 75–80% of excess weight.
Specifics: a faster operation and shorter recovery. The procedure can be undone technically, but there is a bile reflux risk from the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combined technique that unites the benefits of sleeve gastrectomy and intestinal bypass. It is done in two stages: first the stomach is turned into a narrow tube, then the small intestine is rerouted so that most of it is excluded from active digestion.
Effectiveness: ranks among the most powerful bariatric operations: up to 80–90% of excess weight lost, with lasting results.
Specifics: appetite drops because the smaller stomach no longer has its ghrelin-producing zone, and bypassing part of the intestine cuts calorie absorption. It fits super obesity (BMI over 50), severe type 2 diabetes, or serves as a second stage following an ineffective sleeve.
Book a consultation
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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
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan

Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.

Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Experienced bariatric surgeons devoted to their patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained under Vadim Gushchin at Mercy clinic and spoke at the 2025 World Congress of bariatric surgery. Co-author of an international study published in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
The country's most prolific surgeon in SASJ operations. A member of the national Society of Bariatric Surgeons' expert council and a frequent speaker at national and international congresses.
City Medical Centre treats obesity comprehensively. Following the first examination, every patient receives a personal diagnostic program (lab and instrumental) to detect every disorder in the body.

A method matched to your goal
Our doctors match the surgical method to each individual patient. They review your health, weight history and accompanying conditions before deciding, to offer you the most appropriate surgical treatment.

Support that stays in touch
The City Medical Centre team remains by your side after surgery. For the whole first year, specialists follow your weight loss, check your tests and answer every question about diet and recovery.

Fast recovery
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back to normal life within a week.

Full diagnostics on site
There is no need to rush between clinics. Our centre offers your entire work-up — our own lab, ultrasound, gastroscopy. Preparation goes quickly, with no queues, all in one building.
How recovery goes is largely individual, yet minimally invasive laparoscopic techniques keep the rehabilitation period to a minimum.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
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
Bariatric vs plastic surgery: what's the difference?
These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
We apply modern laparoscopic technique, operating through 4 small punctures of 5 to 15 mm. Thanks to cosmetic sutures, the marks are almost invisible once they heal.
What diet do I need to follow?
Stage by stage, you move from liquid food to soft and then solid. Priority goes to protein, and high-calorie, fatty food is limited.
What types of bariatric surgery are there?
At City Medical Centre there are four main types of bariatric surgery — sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Every method is chosen individually from BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
You can become pregnant after bariatric surgery, but doctors advise a wait of at least 12–18 months. Over this period the body stabilizes, weight hits target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, taking vitamins after bariatric surgery is mandatory. Because digestion is anatomically altered, the body absorbs some nutrients poorly, so regular vitamin and mineral supplements stay in the patient's life permanently.
Can the weight come back?
Weight regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
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Service
Discounted price
Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Abeokuta start thinking about surgery. A consultation is warranted not only by a high BMI but also by related conditions. The surgeon reviews your health and weight history and offers the most suitable of the four surgical methods.
Step one: consultation. Step two: laboratory and instrumental tests, gastroscopy and specialist reviews. Step three: surgery through small punctures by a permanent team, not a duty shift. Step four: 1–5 days in the ward with meals and nursing. Step five: a staged diet and a year of follow-up. People in Abeokuta follow this route from start to finish.
Before spending on another diet, get a professional assessment. A short no-cost talk with the surgeon, about a quarter of an hour, shows whether your BMI and related conditions justify surgery. If they do, one package takes you through tests, the operation, care in the ward and follow-up, with the weight loss result set in a contract. Residents of Abeokuta can apply online.
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Apply before the end of the year and get a consultation at the clinic's expense!