guarantee
Bariatric Operations in Borough of Queens: Who They Suit
for good —
14,000 CMC patients already live in a new body. The result is fixed in an official contract, legally and not only verbally.
patients
experience
from excess weight
rating
Bariatric Operations in Borough of Queens: Who They Suit
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
Hidden fees? None. Surprises? None. One package, full route.
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
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
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 main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Unsuccessful past attempts at weight loss by traditional 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
- Unsuccessful past attempts at weight loss by traditional means
The role of body mass index (BMI)
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have 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 speak with a clinic physician 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
Bariatric surgery methods at City Medical Centre
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: 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 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: 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: more lasting results than other bariatric methods. Associated conditions such as diabetes and hypertension often go into remission. Because digestion is anatomically altered, vitamins and minerals must be taken for life.
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: results comparable to classic Roux-en-Y bypass — up to 75–80% of excess weight lost.
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)
As a modern combined technique, SADI-S brings together the benefits of sleeve gastrectomy and intestinal bypass. Its two stages: making the stomach into a narrow tube, then rerouting the small intestine so the majority of it 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 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
Preparing for bariatric surgery at City Medical Centre
We start with a surgical consultation: history taking, choosing the method and planning recovery
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons devoted to their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
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 · surgeon
The country's most prolific surgeon in SASJ operations. A member of the national Society of Bariatric Surgeons' expert council and a frequent speaker at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
Obesity care at City Medical Centre is comprehensive. After the first check-up, every patient receives a personalized lab and instrumental diagnostic program to uncover each disorder in the body.
A method matched to your goal
The surgical method is chosen by our doctors on an individual basis. They first review your health, your weight history and related conditions, then offer the surgical treatment that suits you 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
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
No need to run between clinics. Our centre has everything for your work-up, from our own lab to ultrasound and gastroscopy. Preparation is quick, with no queues, all in one building.
Recovery after bariatric surgery
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase 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
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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?
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 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.
What diet do I need to follow?
You move through diet stages from liquid food to soft and finally solid. Protein comes first, and high-calorie, fatty food is restricted.
What types of bariatric surgery are there?
There are four main types of bariatric surgery at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. BMI, related conditions and the patient's goals guide the individual choice of method.
Can I plan a pregnancy after surgery?
Pregnancy is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.
Do I need to take vitamins after surgery?
Yes, taking vitamins after bariatric surgery is mandatory. Because digestion is anatomically altered, the body absorbs some nutrients poorly, so regular vitamin and mineral supplements stay in the patient's life permanently.
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.
Prices
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Service
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Bariatric surgery in Borough of Queens: methods, stages and package
The decision rests on clear criteria: body mass index, overall health with related chronic conditions, and failed previous attempts at weight loss. BMI is weight in kilograms divided by height in metres squared. Contraindications include acute illness, severe chronic or mental illness, and less than six months since breastfeeding ended. Borough of Queens patients receive a personal assessment against these points.
The work-up is done in one building with its own lab, ultrasound and gastroscopy, so preparation is quick and without queues. After laparoscopic surgery, the patient stays under observation for 1 to 5 days depending on the extent of the operation. Within the first hours you may sit up, stand and drink. Most Borough of Queens patients are up and moving on day one.
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. Borough of Queens 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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