guarantee
Laparoscopic Bariatric Surgery in Austin
for good —
14,000 CMC patients already have a new body. We put the result in an official contract, so it is legal rather than merely verbal.
patients
experience
from excess weight
rating
Laparoscopic Bariatric Surgery in Austin
for good —
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
No secret fees and no surprises — one package takes you all the way.
Bariatric surgery —
is it right for me?
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Reasons to see a surgeon
It is not only a high BMI that justifies a surgical consult — related diseases do 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
Diets and medicines have failed to give a lasting result for 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 medicines have failed to give a lasting result for years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
Why don't diets and exercise work for everyone?
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
The role of body mass index (BMI)
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.
Why don't diets and exercise work for everyone?
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
Medical indications
for bariatric surgery
Please speak with a clinic physician if you have chronic conditions!
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
The surgeon takes out most of the stomach and shapes the rest into a narrow tube. Portion size shrinks sharply and ghrelin, the hunger hormone, drops, so fullness comes much faster and the patient eats less.
Effectiveness: the method is appropriate for a BMI of 35 to 45. Average loss of excess weight is 60–70%.
Specifics: less durable results than bypass operations. Without sticking to the diet, especially avoiding high-calorie drinks and liquid food, the weight may 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 “gold standard” for patients with a BMI over 45–50 and type 2 diabetes. Up to 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)
This operation is an improvement on the classic bypass. Compared with the standard technique, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. Its simplicity makes it easier for the patient, with less recovery time.
Effectiveness: in line with the classic Roux-en-Y bypass — loss of up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a contemporary combined technique uniting what is best in sleeve gastrectomy and intestinal bypass. Two stages are involved: first a narrow tube is formed from the stomach, then the small intestine is rerouted, leaving most of it outside active digestion.
Effectiveness: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
Specifics: with the ghrelin-producing zone removed, the smaller stomach reduces appetite; redirecting food past part of the intestine limits calorie uptake. Used for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage when a sleeve was ineffective.
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
We start with a surgical consultation: history taking, choosing the method and planning recovery
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, cardiologist, psychiatrist and gynecologist (women only).
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, cardiologist, psychiatrist and gynecologist (women only).
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Our specialists
Bariatric surgeons with experience who put patients' health first
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
No one in the country has performed more SASJ operations. On the expert council of the national Society of Bariatric Surgeons; gives regular talks at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
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
Our doctors decide on the surgical method case by case. Before choosing, they evaluate your health, weight history and related conditions in order to offer the surgical treatment that fits best.
Support that stays in touch
The City Medical Centre team stays with you after surgery. Throughout the first year, specialists track your weight loss, monitor your tests and answer all questions about diet and recovery.
Fast recovery
All bariatric operations at City Medical Centre are laparoscopic, which greatly speeds recovery. Most patients get up and move on the first day 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 after bariatric surgery
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase 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
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A staged diet is prescribed for 1–2 months — from liquids to solids to let the stomach adapt.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent 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 is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A staged diet is prescribed for 1–2 months — from liquids to solids to let the stomach adapt.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent 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?
Many confuse the two, yet their purposes are fundamentally different. Bariatric surgery is medicine's treatment for obesity and related diseases: it changes how the digestive tract operates and addresses the causes of excess weight and metabolism. Plastic surgery reshapes outer contours of the body without treating obesity or affecting metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
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.
What diet do I need to follow?
You move through diet stages from liquid food to soft and finally solid. Protein comes first, and high-calorie, fatty food is restricted.
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?
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 are a must after bariatric surgery. Changes in digestive anatomy mean the body absorbs some nutrients less effectively, so regular vitamin and mineral supplements are part of the patient's life for good.
Can the weight come back?
Weight may return after bariatric surgery, though that is very unlikely when you follow the doctor's advice. Key factors: proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
Prices
Submit an application before the month ends — free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Sleeve, bypass or SADI-S in Austin: a short guide
Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in Austin should know that it requires lifelong vitamin and mineral supplements.
Eating changes in stages. A staged diet lasts 1–2 months, moving from liquid to soft to solid food so the stomach can adapt, with the focus on protein and limited high-calorie, fatty dishes. Following specialist advice, patients lose on average 10% of excess weight per month. Those from Austin build stable eating habits that keep the weight from returning.
One package covers the full journey, from consultation to final result. There are no separate charges added later: ward, meals, nursing care and coordinator support are included. To find out whether surgery suits you, patients in Austin can book a free surgeon consultation; the doctor reviews BMI, health and weight history and recommends a method.
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