14,000 CMC patients already live in a new body. An official contract sets out the result with legal force, not as mere words.
Bariatric Surgery in Benin City with a Contract Guarantee
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Nothing hidden, nothing unexpected. One package for every step.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Real before and after photos of City Medical Centre patients. Results are individual.
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfterA surgical consultation makes sense with a high BMI and also with related conditions
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
No durable effect from dieting and medication 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
No durable effect from dieting and medication over several years.
Surgery is prescribed only when clear criteria are met
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
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)
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
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.
If you have chronic conditions, please see a clinic doctor 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
During the procedure the surgeon removes the greater part of the stomach, forming a narrow tube. Portions get far smaller and ghrelin, the hunger hormone, decreases, so the patient is satisfied faster and eats less.
Effectiveness: the method is used for a BMI of 35 to 45; average loss is 60–70% of excess weight.
Specifics: compared with bypass operations, the result is less stable. When the diet is not followed — notably with high-calorie drinks and liquid food — weight may return.

Roux-en-Y gastric bypass
The surgeon builds a 50–70 ml pouch in the upper part of the stomach and attaches it directly to the small intestine. This caps food intake and lowers calorie absorption by shortening food's route through the gut.
Effectiveness: with a BMI over 45–50 and type 2 diabetes, this is the “gold standard”. Excess weight loss is as high as 75–85%.
Specifics: the result endures better than with alternative bariatric methods. Associated diabetes and hypertension frequently go into remission. Lifelong vitamin and mineral supplements are required because the digestive anatomy changes.

Mini gastric bypass (MGB)
This procedure improves on the classic bypass. Instead of the standard approach, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. A simpler technique means an easier experience for the patient and a shorter recovery.
Effectiveness: comparable with the classic Roux-en-Y bypass: patients drop 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 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: 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
You begin with a surgeon's consultation, where history, method and recovery plan are covered

Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (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
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.

Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (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
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Bariatric surgeons with deep experience and real care for patients' health

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
Top in the country by number of SASJ operations performed. Expert council member of the national Society of Bariatric Surgeons, with regular talks at national and international congresses.
At City Medical Centre, obesity is approached as a whole. After the initial examination each patient is given an individual diagnostic program, both lab and instrumental, to find all disorders 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
You are not left alone after surgery — the City Medical Centre team stays with you. Across the first year, specialists follow your weight loss, monitor tests and answer all diet and recovery questions.

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
No shuttling between clinics. Your full work-up happens at our centre, from our own lab to ultrasound and gastroscopy. Preparation is quick, there are no queues, and it is all in one building.
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation as short as possible.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's 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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's 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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
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?
The operation uses modern laparoscopic technique, through 4 small punctures of 5 to 15 mm. We place cosmetic sutures, and after healing the marks become almost invisible.
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?
Pregnancy after bariatric surgery is possible, though doctors recommend waiting at least 12–18 months. In that time the body stabilizes, weight reaches its target and nutritional status returns to normal.
Do I need to take vitamins after surgery?
Yes, vitamins are essential after bariatric surgery. As digestive anatomy changes, the body absorbs certain nutrients less well, so regular vitamin and mineral supplements become a lasting part of the patient's life.
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.
A free consultation for any service if you apply before the end of the month
Service
Discounted price
Sleeve gastrectomy turns most of the stomach into a narrow tube, reducing portion size and levels of ghrelin, the hunger hormone. It suits a BMI of 35 to 45, with patients losing on average 60–70% of excess weight. For anyone from Benin City with a higher BMI or type 2 diabetes, a bypass may fit better; the surgeon compares options at the consultation.
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 Benin City.
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 Benin City leave a request on the page or message the clinic, then receive a free consultation with a bariatric surgeon.
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Apply before the end of the year and get a consultation at the clinic's expense!