14,000 CMC patients already live in a new body. The outcome is set down in a formal contract: legally binding, not just promised.
Laparoscopic Bariatric Surgery in Benoni
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden extras. Nothing unexpected. One package, start to end.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to 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
No lasting outcome from diets and medication across 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 lasting outcome from diets and medication across several years.
Surgery is prescribed only when clear criteria are met
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
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)
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
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.
Those with chronic conditions should 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

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: fits patients with a BMI of 35 to 45. They lose 60–70% of excess weight on average.
Specifics: the outcome lasts less reliably than after bypass. Weight can come back if the diet is neglected, above all with high-calorie drinks and liquid food.

Roux-en-Y gastric bypass
Using the top of the stomach, the surgeon creates a small 50–70 ml pouch joined directly to the small intestine. This limits intake and reduces the calories absorbed by cutting short the journey of food through the gut.
Effectiveness: considered the “gold standard” when BMI exceeds 45–50 with type 2 diabetes. Patients lose 75–85% of excess weight.
Specifics: the result is more durable than with other bariatric techniques. Diabetes, hypertension and similar related conditions often enter remission. The changed digestive anatomy means lifelong vitamin and mineral supplements.

Mini gastric bypass (MGB)
A modified version of the classic bypass. Unlike the standard operation, just one connection (anastomosis) joins the small stomach and the small intestine. The technique is simpler, so it is easier on the patient and recovery takes less time.
Effectiveness: results comparable to classic Roux-en-Y bypass — up to 75–80% of excess weight lost.
Specifics: brief surgery and rapid recovery. While technically reversible, the procedure has a bile reflux risk linked to 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: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
Specifics: the reduced stomach lowers appetite once the ghrelin-producing zone is removed, and routing food past a section of intestine limits how many calories are absorbed. Suitable for super obesity (BMI over 50), severe type 2 diabetes, or as 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
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan

Lab tests
Biochemistry, HbA1c, complete blood count, urinalysis and 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, endocrinologist, psychiatrist, cardiologist and gynecologist (for women).

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.

Lab tests
Biochemistry, HbA1c, complete blood count, urinalysis and 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, endocrinologist, psychiatrist, cardiologist and gynecologist (for women).

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Our experienced bariatric surgeons care about every patient's health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Mercy clinic training under Vadim Gushchin; speaker at the World Congress of bariatric surgery (2025). Among the co-authors of an international study in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has done more SASJ operations than anyone else in the country. Sits on the expert council of the national Society of Bariatric Surgeons and regularly speaks at national and international congresses.
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
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
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
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
Forget going between clinics. Everything for your work-up is here, including our own lab, ultrasound and gastroscopy. Preparation is quick and queue-free, all in a single building.
How recovery goes is largely individual, yet minimally invasive laparoscopic techniques keep the rehabilitation period to a minimum.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every stage of weight loss.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
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?
Many people confuse the two, but their goals are fundamentally different. Bariatric surgery is a medical treatment for obesity and related diseases. It changes how the digestive tract works, addressing the causes of excess weight and metabolism. Plastic surgery 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?
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?
Diet changes happen in stages, from liquids to soft food and then solids. It centers on protein and limits high-calorie, fatty food.
What types of bariatric surgery are there?
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.
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 required after bariatric surgery. With the digestive anatomy changed, some nutrients are absorbed less well, and regular vitamin and mineral supplements become a permanent part of life.
Can the weight come back?
Although weight regain after bariatric surgery is possible, it is very unlikely if you follow the doctor's advice. Proper eating, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
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Why do diets fail? The body fights back: metabolism slows, appetite grows, and lost kilos return. When diet changes and medication cannot fundamentally improve the situation, surgery becomes the effective way out. Benoni residents who have tried diets, fasting and pills for years without a lasting result are exactly the patients for whom bariatric operations are intended.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Benoni discuss these points with the surgeon well before the operation date.
Everything needed for the result is combined in one package, with no hidden fees and no surprises. For patients from Benoni, it includes surgery by a dedicated team, round-the-clock care in the ward with meals and nursing, a doctor nearby 24/7 and a personal coordinator. The first step is a free 15-minute consultation with a bariatric surgeon.
Well-known people who spoke openly about this operation, in their own words.
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