Bariatric Operations in Bokaro Steel City: Who They Suit

Bariatric surgery at the clinic is performed by experienced bariatric surgeons:

• Ruslan S. Menzulin — bariatric surgeon and surgical oncologist, 9 years of experience. Trained at Mercy clinic (USA) under Vadim Gushchin, spoke at the World Congress of bariatric surgery in Santiago (2025). Co-author of an international study published in The Lancet.
• Andrey G. Ugay — lead bariatric surgeon, 27 years of experience. Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons.

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Surgery is prescribed only when clear criteria are met

• The patient's body mass index (BMI)
• Overall health and any related chronic conditions
• Standard approaches to weight loss have not worked before

The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.

Many people confuse them, but the goals are fundamentally different. Bariatric surgery is a medical way to treat obesity and related diseases. It changes how the digestive tract works, getting at the causes of excess weight and metabolism. Plastic surgery only reshapes the body's outer contours; it does not treat obesity or affect metabolism.

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.

We use modern laparoscopic technique. The operation is done through 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, so once healed the marks become almost invisible.

How soon you recover depends on what you do. Office work: 2–4 weeks later. Physical work: 1.5 months later. Sport and activity: swimming from day 30, other exercise brought in gradually as weight falls. Travel and holidays: ideally not sooner than a month after surgery.

Your diet changes step by step: from liquid food to soft and then to solid. The emphasis is on protein and on cutting high-calorie, fatty food.

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.

Yes, after bariatric surgery vitamins cannot be skipped. As the digestive anatomy changes, some nutrients are absorbed less well, making regular vitamin and mineral supplements a permanent feature of the patient's life.

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.