guarantee
Weight Loss Surgery in Bilimora: Sleeve, Bypass, SADI-S
for good —
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.
patients
experience
from excess weight
rating
Weight Loss Surgery in Bilimora: Sleeve, Bypass, SADI-S
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 extras. Nothing unexpected. One package, start to end.
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
Seeing a surgeon is justified by related conditions as well, not by a high BMI alone
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 drugs, yet no durable result.
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 drugs, yet no durable result.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- No success with earlier tries to slim down by usual means
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- No success with earlier tries to slim down by usual means
The role of body mass index (BMI)
BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.
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.
Medical indications
for bariatric surgery
Please check with a clinic doctor if you live with 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
Bariatric surgery methods at City Medical Centre
Sleeve gastrectomy
In the operation the surgeon removes most of the stomach, leaving a narrow tube. Portions become much smaller and levels of ghrelin, the hunger hormone, fall, so the patient feels full far sooner and eats less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: the effect is less durable than with bypass procedures. Ignoring the diet, especially high-calorie drinks and liquid meals, may bring the weight back.
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: this operation is seen as the “gold standard” with a BMI above 45–50 and type 2 diabetes. Excess weight falls by up to 75–85%.
Specifics: outcomes are more durable than with other bariatric procedures. Diabetes, hypertension and other related conditions often go into remission. With the digestive anatomy changed, lifelong vitamin and mineral supplements are a must.
Mini gastric bypass (MGB)
An upgraded take on the classic bypass. In contrast to the standard method, only a single connection (anastomosis) is made between the small stomach and the small intestine. Being simpler, the technique is easier on the patient and shortens recovery.
Effectiveness: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
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 is a contemporary combined technique uniting what is best in sleeve gastrectomy and intestinal bypass. Two stages are involved: first a narrow tube is formed from the stomach, then the small intestine is rerouted, leaving most of it outside active digestion.
Effectiveness: one of the most powerful bariatric operations — excess weight loss reaches 80–90% with a long-lasting result.
Specifics: removing the ghrelin-producing zone makes the stomach smaller and lowers appetite, while rerouting food around part of the intestine restricts calorie absorption. Indicated 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
Preparing for bariatric surgery at City Medical Centre
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan
Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons who care about their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Took training at Mercy clinic under Vadim Gushchin and addressed the World Congress of bariatric surgery (2025). Co-author of an international study that The Lancet published.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons; speaks regularly at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
The approach to obesity at City Medical Centre is comprehensive. Following an initial examination, a personal diagnostic program — lab and instrumental — is drawn up for each patient to detect every disorder in the body.
A method matched to your goal
Our doctors choose the surgical method individually for each patient. Before deciding, they review your health, weight history and related conditions to offer the most suitable surgical treatment.
Support that stays in touch
After surgery the City Medical Centre team continues to support you. Throughout year one, specialists track weight loss, review your tests and answer all your questions on diet and recovery.
Fast recovery
The laparoscopic approach to bariatric operations at City Medical Centre greatly reduces recovery. Most patients are mobile on day one and return to everyday 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
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
You are permitted to sit up, stand and drink fluids in the first 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
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
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support 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
You are permitted to sit up, stand and drink fluids in the first 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
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
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from 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
Frequently asked questions
about bariatric surgery at CMC
Bariatric vs plastic surgery: what's the difference?
The two are often mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies 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?
We work with modern laparoscopic technique. The operation needs only 4 small punctures, 5 to 15 mm each. Cosmetic sutures are applied, so healed marks are 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?
City Medical Centre performs four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is chosen individually based on BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy after bariatric surgery is possible, but doctors advise waiting at least 12–18 months. During this time the body stabilizes, weight reaches target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins after bariatric surgery are necessary. The body absorbs certain nutrients less well due to the changed digestive anatomy, so regular vitamin and mineral supplements become a permanent part of the patient's life.
Can the weight come back?
Regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, no high-calorie drinks and regular follow-up visits with City Medical Centre specialists make the difference.
Prices
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How obesity surgery works for Bilimora residents
All bariatric operations here are laparoscopic, performed through four small punctures of 5 to 15 mm with cosmetic sutures, so the marks become almost invisible after healing. This greatly shortens recovery. For those from Bilimora, the choice between sleeve, classic bypass, mini bypass and SADI-S depends on BMI, related diseases and the result you want to reach.
The final result is reached in 1.5–2 years. Throughout the first year the team tracks weight loss, monitors tests and answers questions about diet and recovery, providing psychological and medical support at every stage. For patients in Bilimora, regular follow-up with specialists and avoiding high-calorie drinks are the keys to keeping the result for good.
What sets this programme apart is a result guarantee written into an official contract: weight loss is fixed legally, not just in words. Surgeons have 9–11 years in the field and work as a permanent team. Bilimora residents can tick the situations that sound familiar on the page and then check their case for free with a surgeon.
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