14,000 CMC patients already enjoy life in a new body. Your result is written into a formal contract — binding by law, not by words.
Obesity Surgery in Bhavnagar: Bariatric Methods
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No concealed charges or surprises. The whole journey, one package.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
A surgical consultation is warranted not only by a high BMI but also by 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
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.
Surgery is prescribed only when clear criteria are met
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
Key factors
The role of body mass index (BMI)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Why don't diets and exercise work for everyone?
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
Please consult a clinic doctor 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

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: 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 creates a small 50–70 ml pouch at the top of the stomach and connects it directly to the small intestine. This limits food intake and reduces calorie absorption by shortening the path food travels through the gut.
Effectiveness: known as the “gold standard” for a BMI over 45–50 combined with type 2 diabetes. Excess weight loss hits 75–85%.
Specifics: compared with other bariatric methods, the result is more stable. Conditions like diabetes and hypertension commonly go into remission. The altered digestive anatomy requires lifelong vitamin and mineral supplements.

Mini gastric bypass (MGB)
This is an improved version of the classic bypass. Unlike the standard method, the surgeon creates only one connection (anastomosis) between the small stomach and the small intestine. The simpler technique is easier on the patient and needs less recovery time.
Effectiveness: comparable to the classic Roux-en-Y bypass — patients lose 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 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: one of the most powerful options in bariatric surgery: excess weight loss of 80–90%, lasting a long time.
Specifics: a smaller stomach curbs appetite because the ghrelin-producing zone is removed, and sending food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or a second stage after a sleeve that did not work.
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
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and cardiologist, plus gynecologist (women).

Diet
In the 2–4 weeks leading up to surgery, reduce fast carbs and fats; light meals the day before.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.

Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and cardiologist, plus gynecologist (women).

Diet
In the 2–4 weeks leading up to surgery, reduce fast carbs and fats; light meals the day before.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Bariatric surgeons with deep experience and real care for patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Underwent training at Mercy clinic under Vadim Gushchin; spoke at the World Congress of bariatric surgery (2025). Co-authored international research published 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 treats obesity comprehensively. Following the first examination, every patient receives a personal diagnostic program (lab and instrumental) to detect every disorder in the body.

A method matched to your goal
Our doctors pick the surgical method for every patient individually. They examine your health, weight history and related conditions before deciding, so they can propose the most suitable surgical treatment.

Support that stays in touch
The City Medical Centre team remains by your side after surgery. For the whole first year, specialists follow your weight loss, check your tests and answer every question about diet and recovery.

Fast recovery
Laparoscopic bariatric operations at City Medical Centre make recovery far shorter. Most patients are moving on day one and resume their normal life within a week.

Full diagnostics on site
Skip the trips between clinics. Our centre provides everything for your work-up, our own lab through ultrasound and gastroscopy. Prep is quick and free of queues, all in one building.
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase as short as possible.

Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
You can resume working 7–14 days after surgery, based on how physically demanding your job is.
Restrictions
No sauna, no bathhouse and no intense physical exercise for the first weeks.
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
The final outcome arrives within 1.5–2 years. By this time the patient has lasting eating habits that stop the weight returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.

Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
You can resume working 7–14 days after surgery, based on how physically demanding your job is.
Restrictions
No sauna, no bathhouse and no intense physical exercise for the first weeks.
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
The final outcome arrives within 1.5–2 years. By this time the patient has lasting eating habits that stop the weight returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support 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?
These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change 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?
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?
At City Medical Centre there are four main types of bariatric surgery — sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Every method is chosen individually from BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
After bariatric surgery pregnancy is possible, yet doctors recommend at least 12–18 months of waiting. Meanwhile the body stabilizes, weight arrives at target values and nutritional status normalizes.
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.
Request before the month closes and get any service consultation free
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 Bhavnagar 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.
A personal coordinator is assigned from day one, so no one goes through the process alone. After the first examination, each patient gets an individual diagnostic programme to identify every disorder in the body. Then the surgeon selects the method and performs the laparoscopic operation, and a doctor stays nearby 24/7. That is the sequence for everyone from Bhavnagar.
Your investment covers more than surgery. The package includes the full diagnostic programme, the chosen laparoscopic method, inpatient care with food and nursing staff, round-the-clock medical presence and specialists tracking your weight and tests throughout the first year. For people searching for weight loss surgery in Bhavnagar, the first consultation with the surgeon is free and takes about 15 minutes.
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!