14,000 CMC patients already live in a new body. The result is fixed in an official contract, legally and not only verbally.
Bariatric Surgery for Patients from Bursa
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Hidden fees? None. Surprises? None. One package, full route.
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
Several years of diets and medication, and nothing that lasted.
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 medication, and nothing that lasted.
Surgery is prescribed only when clear criteria are met
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
Key factors
The role of body mass index (BMI)
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
Why don't diets and exercise work for everyone?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
If you have chronic conditions, please see a clinic doctor 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

Sleeve gastrectomy
The surgeon removes the larger part of the stomach so it becomes a narrow tube. This strongly reduces how much fits in a portion and lowers ghrelin, the hunger hormone; the patient feels full faster and eats less.
Effectiveness: fits patients with a BMI of 35 to 45. They lose 60–70% of excess weight on average.
Specifics: the result holds up less well than after bypass operations. If the diet is broken, particularly with high-calorie drinks and liquid food, weight may come 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: considered the “gold standard” when BMI exceeds 45–50 with type 2 diabetes. Patients lose 75–85% of excess weight.
Specifics: the effect lasts longer than with other bariatric methods. Related diseases, including diabetes and hypertension, often reach remission. As digestive anatomy changes, supplements of vitamins and minerals are needed for life.

Mini gastric bypass (MGB)
A modified version of the classic bypass. Unlike the standard operation, just one connection (anastomosis) joins the small stomach and the small intestine. The technique is simpler, so it is easier on the patient and recovery takes less time.
Effectiveness: close to the classic Roux-en-Y bypass, with patients losing 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)
SADI-S is an up-to-date combined technique joining the strengths of sleeve gastrectomy and intestinal bypass. There are two stages: the stomach is first made into a narrow tube, and then the small intestine is rerouted to exclude most of it from active digestion.
Effectiveness: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
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
Step one is a consultation with the surgeon: your history, the right method and a recovery plan

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
Chest X-ray, ECG, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
Chest X-ray, ECG, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Veteran bariatric surgeons who truly care about 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
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.
At City Medical Centre obesity is treated with a comprehensive approach. Once examined, each patient receives a personal lab and instrumental diagnostic program aimed at finding every 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 keeps supporting you after the operation. All through the first year, specialists track how your weight drops, check your tests and handle every question on diet and recovery.

Fast recovery
At City Medical Centre, bariatric operations are laparoscopic, which significantly shortens recovery. Most patients are up and active on day one and return to 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.
Much of recovery depends on the individual, but minimally invasive laparoscopic techniques keep the rehab stage as short as possible.

Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.

Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
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?
People often confuse these two, though their aims are fundamentally different. Bariatric surgery is medical treatment of obesity and associated diseases. It changes the way the digestive tract works, acting on the causes of excess weight and on metabolism. Plastic surgery alters outer body contours and does not treat obesity or affect 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?
In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting 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 can happen, though doctors advise holding off at least 12–18 months. In this period the body becomes stable, weight reaches target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
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.
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.
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Service
Discounted price
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. Bursa patients receive a personal assessment against these points.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Bursa discuss these points with the surgeon well before the operation date.
Your investment covers more than surgery. The package includes the full diagnostic programme, the chosen laparoscopic method, inpatient care with food and nursing staff, round-the-clock medical presence and specialists tracking your weight and tests throughout the first year. For people searching for weight loss surgery in Bursa, the first consultation with the surgeon is free and takes about 15 minutes.
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Apply before the end of the year and get a consultation at the clinic's expense!