Bariatric Surgery in Aleppo with a Contract Guarantee

At the clinic, experienced bariatric surgeons perform the bariatric operations:

• Ruslan S. Menzulin — bariatric surgeon and surgical oncologist, 9 years of experience. Trained at Mercy clinic (USA) under Vadim Gushchin, spoke at the World Congress of bariatric surgery in Santiago (2025). Co-author of an international study published in The Lancet.
• Andrey G. Ugay — lead bariatric surgeon, 27 years of experience. Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons.

Write to us — a coordinator will get back to you soon and arrange your consultation. The bariatric surgeon consultation is free of charge.

Send a request

Surgery is prescribed only when clear criteria are met

• The patient's body mass index (BMI)
• Overall health and any related chronic conditions
• Previous tries at losing weight with ordinary methods have failed

Doctors assess obesity chiefly through BMI: take body weight (kg) and divide it by height squared (m²). Surgical treatment is usually justified at a BMI over 40, or over 35 with serious related conditions. Surgery may also be considered at lower values in some cases — where non-surgical approaches have failed.

Though often confused, the two have fundamentally different goals. Bariatric surgery is a medical treatment of obesity and related illnesses; it changes the functioning of the digestive tract to address the causes of excess weight and metabolism. Plastic surgery reshapes the outer contours of the body and neither treats obesity nor affects metabolism.

City Medical Centre performs four core types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Selection is individual and takes into account BMI, related conditions and the patient's goals.

Using modern laparoscopic technique, we perform the operation via 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, leaving marks that are nearly invisible after healing.

Recovery time depends on the activity. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming allowed after 30 days, other exercise gradually added as weight goes down. Travel and holidays: plan no sooner than one month after surgery.

The diet shifts in stages — liquid, then soft, then solid food. Protein is the priority, while high-calorie, fatty food is limited.

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.

Yes, bariatric surgery makes vitamins a must. Since digestive anatomy is changed, absorption of some nutrients drops, and regular vitamin and mineral supplements become permanent in the patient's life.

Regaining weight after bariatric surgery is possible, yet very unlikely when you stick to the doctor's advice. The keys are proper nutrition, no high-calorie drinks and regular check-ups with City Medical Centre specialists.