guarantee
Bariatric Surgery for Patients from Birmingham
for good —
14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
patients
experience
from excess weight
rating
Bariatric Surgery for Patients from Birmingham
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 costs. No surprises. A single package for the whole journey.
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
Both a high BMI and associated conditions can make a surgical consultation worthwhile
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 result from diets 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 lasting result from diets and medication over several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
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?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Medical indications
for bariatric surgery
Chronic illness? Please talk to a doctor at the clinic 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
Bariatric surgery methods at City Medical Centre
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: 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
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: the “gold standard” for patients with a BMI over 45–50 and type 2 diabetes. Up to 75–85% of excess weight is lost.
Specifics: results hold better than with other bariatric methods. Related conditions like diabetes and hypertension frequently go into remission. Since digestive anatomy is altered, vitamin and mineral supplements are needed for life.
Mini gastric bypass (MGB)
The classic bypass, improved. Unlike the standard method, the surgeon forms just one connection (anastomosis) between the small stomach and the small intestine. A simpler technique puts less strain on the patient and cuts the time needed to recover.
Effectiveness: like the classic Roux-en-Y bypass, it helps patients lose up to 75–80% of excess weight.
Specifics: shorter operating time and faster recovery. Though technically reversible, it carries a risk of bile reflux due to the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
A modern combined approach, SADI-S merges the benefits of sleeve gastrectomy with those of intestinal bypass. It takes two stages — turning the stomach into a narrow tube, then rerouting the small intestine so that the larger part is excluded from active digestion.
Effectiveness: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
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
Preparing for bariatric surgery at City Medical Centre
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Our specialists
Experienced surgeons in bariatrics who care about patient health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Completed training at Mercy clinic with Vadim Gushchin; presented at the World Congress of bariatric surgery (2025). Co-authored an international study 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.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre sees obesity comprehensively. From the first examination, each patient has a personal diagnostic program (lab and instrumental) built to identify every disorder present 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
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
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back to normal life within a week.
Full diagnostics on site
No need to travel between clinics. From our own lab to ultrasound and gastroscopy, the centre has all you need for your work-up. Preparation is fast, without queues, in one building.
Recovery after bariatric surgery
Each patient recovers differently, but minimally invasive laparoscopic techniques keep rehabilitation as brief as possible.
Duration
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
Duration
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
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?
Many mix them up, but they pursue fundamentally different goals. Bariatric surgery medically treats obesity and related diseases by changing how the digestive tract functions, addressing the causes of excess weight and metabolism. Plastic surgery reshapes the external contours of the body; it does not treat obesity or influence metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
We apply modern laparoscopic technique, operating through 4 small punctures of 5 to 15 mm. Thanks to cosmetic sutures, the marks are almost invisible once they heal.
What diet do I need to follow?
The diet evolves in steps — from liquids to soft, then solid food — with a focus on protein and limits on high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre offers four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is chosen individually according to 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 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?
Weight can come back after bariatric surgery, but this is very unlikely if you follow your doctor's advice. Proper nutrition, skipping high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Prices
Apply ahead of month-end and have a free consultation for any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Bariatric surgery in Birmingham: from consultation to result
Mini gastric bypass is an improved version of the classic operation with a single connection between the small stomach and the intestine. The technique is simpler, recovery shorter, and weight loss reaches 75–80% of excess weight. It is technically reversible, but bile reflux is a possible risk. For people from Birmingham, the surgeon explains such trade-offs before any decision.
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 Birmingham.
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. Birmingham 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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