beforeafterIrina, 26
Bariatric surgery
Bariatric surgery
Laparoscopic Bariatric Surgery in Cape Town
Discounted price
$3,600
$4,800 · First consultation — Free
before
after
all the way. Your surgery and recovery plan is discussed free of charge — before you decide.
Message our coordinator
We reply right in the chat — you can send photos
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Results
Weight loss results of our patients
All cases are real patients of the clinic.
beforeafter
beforeafterAngelina, 22
Bariatric surgery
beforeafterAnna, 31
Bariatric surgery
beforeafterVeronika, 25
Bariatric surgery
beforeafterValentina, 23
Bariatric surgery
beforeafterEvgenia, 41
Bariatric surgery
beforeafterAnna, 27
Bariatric surgery
beforeafterVeronika, 26
Bariatric surgery
beforeafterKristina, 23
Bariatric surgery
beforeafterAnna, 24
Bariatric surgery
beforeafterVeronika, 34
Bariatric surgery
Comparison
Weight loss
methods
We perform two main operations: sleeve gastrectomy and gastric bypass. Compare how they work, what they are for and when they are indicated to choose your method with confidence.
Sleeve gastrectomy
Reducing the stomach volume
Discounted price
$3,600 $4,800
- Main goal
- Weight loss, feeling full quickly
- When it is done
- Obesity without marked reflux
- Anaesthesia and stay
- General anaesthesia · 1–5 days in hospital
Gastric bypass
Reducing the stomach volume and rerouting food
Discounted price
$4,000 $5,200
- Main goal
- Weight loss, better metabolism
- When it is done
- Obesity, diabetes or reflux
- Anaesthesia and stay
- General anaesthesia · 1–5 days in hospital
Treat the recovery times and benefits here as guidance averaged by method: how extensive the surgery is and how you recover depend on your own anatomy and features, and the surgeon confirms this at the consultation.
Book a consultationAbout the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
Get a consultationBariatric surgery is not for everyone
Whether to have surgery is decided together with the surgeon after the consultation and check-up.
SuitableBariatric surgery helps with
- Excess weight
- Hypertension
- Type 2 diabetes
- Sleep apnea
- Varicose veins
- Joint disease
- Fatty liver disease
- Reproductive health problems
Not suitableContraindications
- Age under 18
- Malignant tumors
- Pregnancy
- Blood clotting disorders
- Severe chronic and mental illness
- Acute illness or flare-ups of chronic disease
- Less than six months since breastfeeding ended
Not sure which column you belong to?
Write to us on Telegram and our coordinator will tell you whether bariatric surgery is suitable. Your surgeon consultation is free and carries no commitment to surgery.
Find out if it suits me
Prices
You know the price
before surgery
The contract fixes the cost, which is named at the consultation after your plan is drawn up.
Discounted price
Sleeve gastrectomy
Reducing the stomach volume
$3,600$4,800
Discounted price
Gastric bypass
Weight loss and rerouting food
$4,000$5,200
Free
First consultation
Surgeon's examination and a treatment plan
Free
the cost of surgery is named
and fixed in the contract
Find out your method and the cost of surgery
The doctor looks at your health, talks about your goals and chooses the right method of bariatric surgery. You get the cost at the consultation, fixed in the contract.
Message our coordinator
We reply right in the chat — you can send photos
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price
What the $3,600 (≈ R61,000) price includes
From preparation to 12 months of support, all in one package. No added fees.From preparation for surgery
to support for 12 months.
- Surgery and the surgeon's work
- General anaesthesia
- Inpatient stay after surgery
- A slimmer, healthier body
- Meals at the clinic
- Support while you keep the weight off
- A personal coordinator from day one
- Remote progress check by photos
How it works
Treatment at the clinic —
from preparation to discharge
An agreed plan of treatment, in-hospital monitoring and a year of support.
1Consultation and a treatment plan
After assessing your health and discussing your goals, the doctor orders the tests that help choose the right bariatric surgery method.
2Booking the surgery date
The contract for medical services fixes the terms; we reserve a surgery date for you, and the deposit can be paid by card at the clinic or by bank transfer online
3Tests before surgery
At the consultation the doctor gives you the exact list of pre-surgery checks: blood and urine tests, an ECG, an ultrasound, a gastroscopy and visits to specialists.
4Surgery
The medical team monitors the patient after the operation, which the surgeon performs under general anaesthesia using the chosen bariatric method.
5Inpatient stay
Following surgery you remain in hospital, supervised by doctors. The stay is from 1–3 to 4–5 days, depending on the operation's complexity and how you feel.
6Recovery
After discharge you get advice on diet and recovery. Scheduled check-ups track how you feel, your weight and your test results. The clinic team supports you for a year.
At the consultation the doctor draws up a plan and explains how the surgery will go
The consultation is free, before surgery and with no obligation.
Book a consultationDoctors
Surgeons you can trust
Andrey G. Ugay
27 years of experience
Lead bariatric surgeon
Surgeon
- Has performed the largest number of SASJ operations in the country
- Expert council member of the national Society of Bariatric Surgeons
- Speaks regularly at national and international congresses
Ruslan S. Menzulin
9 years of experience
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
The surgeon who operates on you also follows you, from the first consultation to the result.
The patient care manager holds your first consultation free of charge: they work out your BMI, explain the methods and book your appointment with the surgeon.
Book a consultationCoordinators
Clinic coordinators
We support you at every stage
The person you reach first at the clinic, from your first message up to the consultation
Patient care specialist
Ahead of your first consultation, answers questions and helps you choose a convenient date
- Explains each step of preparation
- Reminds you about tests and check-ups
From booking to discharge — with you before and during your stay
Patient care specialist
Helps you get ready for surgery and keeps in touch while you stay at the clinic
- Supports you before and after surgery
- Helps with documents and bookings
By your side through recovery, from discharge to your final check-up
Patient care specialist
Keeps in touch during recovery and books your follow-up visits with the surgeon
- Answers questions during recovery
- Books follow-up visits
Advantages
Why patients choose City Medical Centre
A personal approach at every stage
We select the most suitable method for your health, lifestyle and goals. Our team supports you all the way.
Long-term
support after surgery
We help you adjust to new eating habits, follow your results and maintain them.
Real and lasting results
A higher quality of life, better well-being and steady weight loss.
Your schedule is our priority
Open every day 10:00–18:00, we respect your time with easy booking and a personal approach, adapting to your pace.
Fixed prices
Once the consultation is over, the surgeon chooses the method and you receive a clear price — no hidden fees and no surprises on the way to your result.
FAQ
Answers to what people ask
before booking
The clinic's bariatric procedures are 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.
Write to us and our coordinator will respond shortly and book you in for a consultation. The consultation with the bariatric surgeon is free.
Surgery is prescribed only when clear criteria are met
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Conventional weight-loss methods have failed in past attempts
BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.
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.
City Medical Centre carries out four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The choice of method is individual, based on BMI, related conditions and the patient's goals.
Modern laparoscopic technique is what we use. Just 4 small punctures of 5 to 15 mm are needed for the operation. Cosmetic sutures mean the marks are nearly invisible after healing.
Your recovery depends on your activities. Office work: in 2–4 weeks. Physical work: in 1.5 months. Sport and activity: swimming after 30 days, with other exercise introduced gradually as weight drops. Travel and holidays: plan them a month or more after surgery.
Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.
Pregnancy after bariatric surgery is possible, though doctors recommend waiting at least 12–18 months. In that time the body stabilizes, weight reaches its target and nutritional status returns to normal.
Yes, bariatric surgery makes vitamins a must. Since digestive anatomy is changed, absorption of some nutrients drops, and regular vitamin and mineral supplements become permanent in the patient's life.
Weight regain is possible after bariatric surgery but very unlikely provided you follow the doctor's advice. Eat properly, avoid high-calorie drinks and keep up regular follow-up with City Medical Centre specialists.
Bariatric Surgery in Cape Town: price and what is included
Prices are in US dollars; the amount in brackets is an approximate conversion to ZAR at the rate of 02.10.2026. The final price is fixed in your contract.
- Bariatric Surgeryfrom $3,600 (≈ R61,000)
How much does bariatric surgery in Cape Town cost?
Prices start from $3,600 (≈ R61,000). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
What is included in the price?
General anaesthesia, a personal coordinator from day one, monitoring in the hospital and support for one year.
How long do the procedure and recovery take?
The hospital stay is 1–5 days, depending on the method and how you feel. Office work is possible after 2–4 weeks.
Is the first consultation free?
Yes. The first consultation is free and does not oblige you to anything. You can start online by sending a message to the coordinator.
How do I get my exact price?
Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.
By messaging us, you agree to our Privacy Policy
