14,000 CMC patients already live in a new body. An official contract sets out the result with legal force, not as mere words.
Bariatric Surgery in Brampton with a Contract Guarantee
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No fees hidden away. No shocks. One package for the whole path.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to 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 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
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.
Plenty of people diet and exercise for years, only for the body to resist: a slower metabolism, a bigger appetite and the weight coming back. When diet changes and medication clearly cannot fundamentally improve matters on their own, the only effective option left is bariatric surgery.
Key factors
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?
Plenty of people diet and exercise for years, only for the body to resist: a slower metabolism, a bigger appetite and the weight coming back. When diet changes and medication clearly cannot fundamentally improve matters on their own, the only effective option left is bariatric surgery.
Please consult a clinic doctor 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

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: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: durability is lower than with bypass operations. If the diet slips, especially with high-calorie drinks and liquid food, lost weight may come back.

Roux-en-Y gastric bypass
The surgeon shapes a small pouch, 50–70 ml, from the top of the stomach and routes it directly to the small intestine. Food intake drops and calorie absorption decreases as food covers a shorter distance in the gut.
Effectiveness: regarded as the “gold standard” for a BMI over 45–50 with type 2 diabetes. Loss of excess weight reaches 75–85%.
Specifics: results last better than after other bariatric methods. Related conditions — diabetes, hypertension — often go into remission. The digestive anatomy is changed, so vitamin and mineral supplements are needed throughout life.

Mini gastric bypass (MGB)
This is an improved version of the classic bypass. Unlike the standard method, the surgeon creates only one connection (anastomosis) between the small stomach and the small intestine. The simpler technique is easier on the patient and needs less recovery time.
Effectiveness: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
Specifics: the operation is shorter and recovery faster. Reversal is technically possible, but a single anastomosis means a risk of bile reflux.

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: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
Specifics: the reduced stomach lowers appetite once the ghrelin-producing zone is removed, and routing food past a section of intestine limits how many calories are absorbed. Suitable 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
You begin with a surgeon's consultation, where history, method and recovery plan are covered

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Experienced bariatric specialists who are committed to patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained under Vadim Gushchin at Mercy clinic and spoke at the 2025 World Congress of bariatric surgery. Co-author of an international study published in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Holds the country's record for the number of SASJ operations performed. Member of the expert council of the national Society of Bariatric Surgeons; a regular speaker at national and international congresses.
City Medical Centre approaches obesity in a comprehensive way. Each patient, after the first examination, is assigned a personal diagnostic program (lab and instrumental) to identify all disorders 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
City Medical Centre's team stays with you once surgery is over. During the first year, specialists monitor your weight loss and test results and answer any questions on 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
There is no need to rush between clinics. Our centre offers your entire work-up — our own lab, ultrasound, gastroscopy. Preparation goes quickly, with no queues, all in one building.
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase as short as possible.

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
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
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
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! 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
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
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
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! 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?
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 rely on modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm. Cosmetic sutures are used, so after healing the marks are barely visible.
What diet do I need to follow?
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.
What types of bariatric surgery are there?
The four main types of bariatric surgery at City Medical Centre are sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is matched individually to 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 are required after bariatric surgery. With the digestive anatomy changed, some nutrients are absorbed less well, and regular vitamin and mineral supplements become a permanent part of life.
Can the weight come back?
After bariatric surgery weight regain can happen, but it is very unlikely if the doctor's advice is followed. What matters is proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
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Service
Discounted price
Surgery is usually justified with a BMI above 40, or above 35 when serious related conditions are present, and sometimes at lower values if other approaches have failed. People in Brampton who have carried 30 kg or more above normal for years, whose weight returns after every diet, or who live with type 2 diabetes, hypertension or joint pain are typical candidates.
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 Brampton, regular follow-up with specialists and avoiding high-calorie drinks are the keys to keeping the result for good.
A permanent team — not a duty shift — handles your case, and the whole package is transparent. Included are the operation, 24/7 care in the ward, meals, nursing and a personal coordinator from day one, plus support throughout the first year. Brampton patients also get a contractual result guarantee. Book a free consultation to discuss your situation.
Well-known people who spoke openly about this operation, in their own words.
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Apply before the end of the year and get a consultation at the clinic's expense!