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Gastric Sleeve and Bypass in Ahmedabad
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.
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
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.
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 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?
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.
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
In surgery, most of the stomach is taken out and the rest is formed into a narrow tube. Portions become far smaller and ghrelin, the hormone behind hunger, drops, so the patient feels full quicker and eats less.
Effectiveness: fits patients with a BMI of 35 to 45. They lose 60–70% of excess weight on average.
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
A small upper-stomach pouch of 50–70 ml is made and connected straight to the small intestine. It restricts how much food is eaten and reduces calorie uptake, as food follows a shorter path through the intestine.
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: results last better than after other bariatric methods. Related conditions — diabetes, hypertension — often go into remission. The digestive anatomy is changed, so vitamin and mineral supplements are needed throughout life.

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: similar to the classic Roux-en-Y bypass; up to 75–80% of excess weight is lost.
Specifics: less time in surgery and a faster recovery. Technically the procedure is reversible, though the single anastomosis brings a risk of bile reflux.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combination technique that draws on the benefits of both sleeve gastrectomy and intestinal bypass. In two stages, the stomach is first converted into a narrow tube and the small intestine is then rerouted to exclude its greater part from active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
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
A surgeon's consultation comes first — reviewing medical history, picking a method, planning recovery

Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.

Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Experienced surgeons in bariatrics who care about patient health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Studied at Mercy clinic under Vadim Gushchin and gave a talk at the World Congress of bariatric surgery in 2025. Co-author of international research published 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 takes a full-picture approach to obesity. Once the first examination is done, each patient gets a tailored diagnostic program (lab and instrumental) that reveals every disorder in the body.

A method matched to your goal
Each patient gets an individually chosen surgical method from our doctors. Before a decision, they look at your health, weight history and associated conditions to recommend the most fitting surgical treatment.

Support that stays in touch
After surgery, the team at City Medical Centre stays with you. For the entire first year, specialists keep track of your weight loss, oversee your tests and answer all questions about diet and recovery.

Fast recovery
Bariatric operations at City Medical Centre are laparoscopic, which greatly shortens recovery. Most patients are up and moving on day one and return to normal life within a week.

Full diagnostics on site
No need to run between clinics. Our centre has everything for your work-up, from our own lab to ultrasound and gastroscopy. Preparation is quick, with no queues, all in one building.
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation as short as possible.

Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
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
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.

Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
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
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.
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?
Many people confuse them, but the goals are fundamentally different. Bariatric surgery is a medical way to treat obesity and related diseases. It changes how the digestive tract works, getting at the causes of excess weight and metabolism. Plastic surgery only reshapes 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?
We rely on modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm. Cosmetic sutures are used, so after healing the marks are barely visible.
What diet do I need to follow?
Your diet changes step by step: from liquid food to soft and then to solid. The emphasis is on protein and on cutting 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?
Pregnancy after bariatric surgery can happen, though doctors advise holding off at least 12–18 months. In this period the body becomes stable, weight reaches target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins after bariatric surgery are necessary. The body absorbs certain nutrients less well due to the changed digestive anatomy, so regular vitamin and mineral supplements become a permanent part of the patient's life.
Can the weight come back?
Although weight regain after bariatric surgery is possible, it is very unlikely if you follow the doctor's advice. Proper eating, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
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Service
Discounted price
All bariatric operations here are laparoscopic, performed through four small punctures of 5 to 15 mm with cosmetic sutures, so the marks become almost invisible after healing. This greatly shortens recovery. For those from Ahmedabad, the choice between sleeve, classic bypass, mini bypass and SADI-S depends on BMI, related diseases and the result you want to reach.
Recovery is short thanks to the minimally invasive technique, and absorbable sutures dissolve on their own. Office work is usually resumed after 2–4 weeks and physical work after about 1.5 months; swimming is allowed after 30 days, with other exercise added gradually. For the first weeks, no sauna or intense training. Ahmedabad residents get the same step-by-step guidance from the team.
Starting is simple. Leave your name and phone number or write in any messenger, and a coordinator will arrange a free consultation. In about 15 minutes the surgeon will say whether bariatric surgery is right for you and which method fits. For people from Ahmedabad, this conversation is the fastest way to replace temporary fixes with a lasting solution.
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Apply before the end of the year and get a consultation at the clinic's expense!