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Bariatric Surgery in Bhayandar with a Contract Guarantee
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Zero hidden fees, zero surprises. One package covers the entire path.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
A 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
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
Key factors
The role of body mass index (BMI)
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
Why don't diets and exercise work for everyone?
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
With chronic diseases, please get advice from 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
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: works for a BMI from 35 to 45. On average, 60–70% of the excess weight is lost.
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
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: 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)
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: shorter surgery and faster recovery. The procedure is technically reversible, but there is a risk of bile reflux due to the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S, a modern combined technique, pairs the benefits of sleeve gastrectomy and intestinal bypass. It is carried out in two stages: the stomach is reshaped into a narrow tube, after which the small intestine is rerouted so most of it is bypassed in active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
Specifics: a smaller stomach reduces appetite by removing the ghrelin-producing zone, and rerouting food past part of the intestine limits calorie absorption. It suits 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
A surgeon's consultation comes first — reviewing medical history, picking a method, planning recovery

Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, 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, cardiologist, endocrinologist, psychiatrist, and a 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, cut physical activity and avoid stress starting a month before.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.

Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, 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, cardiologist, endocrinologist, psychiatrist, and a 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, cut physical activity and avoid stress starting a month before.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Veteran bariatric surgeons who truly care about their patients' 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 carried out the largest number of SASJ operations in the country. Serves on the expert council of the national Society of Bariatric Surgeons and presents regularly at national and international congresses.
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify 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
Bariatric operations at City Medical Centre use laparoscopy, which greatly cuts recovery time. Most patients move around on day one and get 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.
Recovery varies from person to person, but minimally invasive laparoscopic techniques make rehabilitation as short as it can be.

Duration
The length of clinic observation is 1 to 5 days, depending on the extent of the operation and related conditions.
Activity
You may sit, stand up and drink fluids within the first few hours after surgery.
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
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per 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! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.

Duration
The length of clinic observation is 1 to 5 days, depending on the extent of the operation and related conditions.
Activity
You may sit, stand up and drink fluids within the first few hours after surgery.
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
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per 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! 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?
Our approach is modern laparoscopic technique: 4 small punctures of 5 to 15 mm. We use cosmetic sutures, so the marks turn almost invisible after healing.
What diet do I need to follow?
Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.
What types of bariatric surgery are there?
Four main bariatric surgery types are available at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is picked individually, considering BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Bariatric surgery does not rule out pregnancy, but doctors suggest waiting 12–18 months or more. During that time the body settles, weight reaches target values and nutrition status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins become essential after bariatric surgery. The changed digestive anatomy lowers absorption of some nutrients, so regular vitamin and mineral supplements turn into a permanent part of the patient's life.
Can the weight come back?
Regaining weight after bariatric surgery is possible, yet very unlikely when you stick to the doctor's advice. The keys are proper nutrition, no high-calorie drinks and regular check-ups with City Medical Centre specialists.
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Service
Discounted price
SADI-S combines a sleeve with intestinal bypass in two stages and is one of the most powerful bariatric operations, with 80–90% excess weight loss and a long-lasting result. It suits super obesity with a BMI over 50, severe type 2 diabetes, or a second stage after an ineffective sleeve. Anyone in Bhayandar in these situations can discuss it at a consultation.
Recovery is short thanks to the minimally invasive technique, and absorbable sutures dissolve on their own. Office work is usually resumed after 2–4 weeks and physical work after about 1.5 months; swimming is allowed after 30 days, with other exercise added gradually. For the first weeks, no sauna or intense training. Bhayandar residents get the same step-by-step guidance from the team.
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 Bhayandar can book a free surgeon consultation; the doctor reviews BMI, health and weight history and recommends a method.
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Apply before the end of the year and get a consultation at the clinic's expense!