14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
Bariatric Surgery for Patients from Atlanta
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.
A high BMI is not the only reason to see a surgeon — related conditions count too
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.
Surgery is prescribed only when clear criteria are met
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Key factors
The role of body mass index (BMI)
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
Why don't diets and exercise work for everyone?
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
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

Sleeve gastrectomy
Here the surgeon removes most of the stomach, reshaping it into a narrow tube. That greatly limits portion size and lowers ghrelin, the hunger hormone — the patient feels full much more quickly and eats less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
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 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: the operation counts as the “gold standard” for BMI above 45–50 with type 2 diabetes; 75–85% of excess weight is lost.
Specifics: the effect lasts longer than with other bariatric methods. Related diseases, including diabetes and hypertension, often reach remission. As digestive anatomy changes, supplements of vitamins and minerals are needed for life.

Mini gastric bypass (MGB)
It is an improved variant of the classic bypass. Unlike the standard method, here the surgeon forms only one connection (anastomosis) linking the small stomach to the small intestine. The simpler technique is less demanding and needs less recovery time.
Effectiveness: results comparable to classic Roux-en-Y bypass — up to 75–80% of excess weight lost.
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 is an up-to-date combined technique joining the strengths of sleeve gastrectomy and intestinal bypass. There are two stages: the stomach is first made into a narrow tube, and then the small intestine is rerouted to exclude most of it from active digestion.
Effectiveness: a top-power bariatric operation — loss of excess weight reaches 80–90%, with a long-lasting result.
Specifics: a reduced stomach without its ghrelin-producing zone means less appetite, and diverting food past part of the intestine restricts calorie absorption. It is suited to super obesity (BMI over 50), severe type 2 diabetes, or 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
The journey begins with a surgeon consultation: medical history, method choice, recovery planning

Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.

Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Seasoned bariatric surgeons who look after their patients' well-being

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

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Performed the highest number of SASJ operations in the country. An expert council member of the national Society of Bariatric Surgeons who often presents at national and international congresses.
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.

A method matched to your goal
Choosing the surgical method is individual for each patient at our clinic. Doctors first review your health, history of weight and related conditions and then propose the most suitable surgical option.

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
You won't need to visit several clinics. Our centre covers the whole work-up, from our in-house lab to ultrasound and gastroscopy. Quick preparation 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
Within the first hours after surgery you may sit up, stand and drink 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
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.

Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! City Medical Centre specialists supervise your recovery and support you psychologically and medically 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
Within the first hours after surgery you may sit up, stand and drink 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
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.

Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! City Medical Centre specialists supervise your recovery and support you psychologically and medically 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?
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.
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?
The diet evolves in steps — from liquids to soft, then solid food — with a focus on protein and limits on high-calorie, fatty food.
What types of bariatric surgery are there?
Four main types of bariatric surgery are performed at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each is selected individually based on BMI, related conditions and patient 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 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?
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.
Submit an application before the month ends — free consultation on any service
Service
Discounted price
Surgery is usually justified with a BMI above 40, or above 35 when serious related conditions are present, and sometimes at lower values if other approaches have failed. People in Atlanta who have carried 30 kg or more above normal for years, whose weight returns after every diet, or who live with type 2 diabetes, hypertension or joint pain are typical candidates.
It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Atlanta 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.
Weight loss is written into the contract, and the package includes every stage: consultation, diagnostics, the operation, inpatient care with meals and a year of support. A personal coordinator guides you from day one. To begin, patients from Atlanta leave a request on the page or message the clinic, then receive a free consultation with a bariatric surgeon.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Apply before the end of the year and get a consultation at the clinic's expense!