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Bariatric Surgery in Baghdad: Methods and Results
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
Bariatric Surgery in Baghdad: Methods and Results
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 hidden fees. No surprises. One package — the full journey.
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
Not just high BMI: associated health conditions also warrant 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
Several years of diets and medication, and nothing 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
Several years of diets and medication, and nothing that lasted.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Previous efforts at weight loss through standard methods did not work
Why don't diets and exercise work for everyone?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Previous efforts at weight loss through standard methods did not work
The role of body mass index (BMI)
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have failed.
Why don't diets and exercise work for everyone?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
Medical indications
for bariatric surgery
If chronic conditions apply to you, please consult 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
Bariatric surgery methods at City Medical Centre
Sleeve gastrectomy
The operation involves removing most of the stomach and turning it into a narrow tube. As a result portions shrink a lot and the hunger hormone ghrelin falls, so the patient reaches fullness sooner and eats less.
Effectiveness: this method is for a BMI of 35 to 45. Patients drop 60–70% of excess weight on average.
Specifics: the result is not as long-lasting as with bypass surgery. Breaking the diet, particularly through high-calorie drinks and liquid food, can bring weight back.
Roux-en-Y gastric bypass
The surgeon forms a small 50–70 ml pouch at the top of the stomach and joins it straight to the small intestine. This restricts food intake and cuts calorie absorption by shortening the route food takes through the gut.
Effectiveness: the operation is considered the “gold standard” for a BMI over 45–50 with type 2 diabetes. Excess weight loss reaches 75–85%.
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: matches the classic Roux-en-Y bypass — patients' excess weight loss is up to 75–80%.
Specifics: the operation is shorter and recovery faster. Reversal is technically possible, but a single anastomosis means a risk of bile reflux.
Single anastomosis duodeno-ileal bypass (SADI-S)
As a modern combined technique, SADI-S brings together the benefits of sleeve gastrectomy and intestinal bypass. Its two stages: making the stomach into a narrow tube, then rerouting the small intestine so the majority of it is excluded from active digestion.
Effectiveness: one of the most powerful options in bariatric surgery: excess weight loss of 80–90%, lasting a long time.
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
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
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan
Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Our specialists
Experienced bariatric specialists who are committed to patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained at Mercy clinic led by Vadim Gushchin; a speaker at the 2025 World Congress of bariatric surgery. Co-author of a study published internationally 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 bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre handles obesity comprehensively. After the first exam, every patient gets an individual diagnostic program (lab plus instrumental) designed to pinpoint every disorder in the body.
A method matched to your goal
Our doctors tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.
Support that stays in touch
City Medical Centre's team stays with you once surgery is over. During the first year, specialists monitor your weight loss and test results and answer any questions on diet and recovery.
Fast recovery
City Medical Centre performs bariatric operations laparoscopically, which shortens recovery considerably. Most patients are on their feet on day one and back to normal life within a week.
Full diagnostics on site
You don't have to go clinic to clinic. Our centre has everything needed for your work-up — own lab, ultrasound, gastroscopy. Fast preparation, no queues, one building.
Recovery after bariatric surgery
Much of recovery depends on the individual, but minimally invasive laparoscopic techniques keep the rehab stage as short as possible.
Duration
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
The final result is seen after 1.5–2 years. In that time the patient builds stable eating habits that keep the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
Duration
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
The final result is seen after 1.5–2 years. In that time the patient builds stable eating habits that keep the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
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?
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 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?
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?
City Medical Centre provides four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. We choose each method individually by BMI, related conditions and the patient's 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, 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 is possible after bariatric surgery but very unlikely provided you follow the doctor's advice. Eat properly, avoid high-calorie drinks and keep up regular follow-up with City Medical Centre specialists.
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Everything about bariatric surgery for Baghdad patients
Bariatric surgery is a medical treatment for obesity and related diseases. Unlike plastic surgery, it changes how the digestive tract works and addresses the causes of excess weight. For patients from Baghdad, four main methods are available: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass and SADI-S. Each is chosen individually based on BMI, related conditions and personal goals.
Preparation is practical. Two to four weeks before surgery, cut fast carbohydrates and fats; a month before, quit smoking, reduce physical activity and avoid stress. The day before, switch to light meals, with the last light meal in the evening and last fluids 3–4 hours before the operation. The same plan applies to everyone preparing for bariatric surgery in Baghdad.
If you are comparing bariatric surgery options in Baghdad, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
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