guarantee
Bariatric Surgery in Charlotte with a Contract Guarantee
for good —
14,000 CMC patients already live in a different body. The result is stated in an official contract — in law, not just in talk.
patients
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from excess weight
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Bariatric Surgery in Charlotte with a Contract Guarantee
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
No hidden fees. No surprises. One package — the full journey.
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
You may need a surgical consultation because of related conditions, not only high BMI
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)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures 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?
Many people keep trying diets and exercise for years while the body resists: metabolism slows, appetite climbs and the weight they lost comes back. When diet changes and medicines alone clearly cannot fundamentally improve the situation, bariatric surgery turns into the only effective way out.
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)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Why don't diets and exercise work for everyone?
Many people keep trying diets and exercise for years while the body resists: metabolism slows, appetite climbs and the weight they lost comes back. When diet changes and medicines alone clearly cannot fundamentally improve the situation, bariatric surgery turns into the only effective way out.
Medical indications
for bariatric surgery
Chronic conditions? Please seek a consultation with a clinic doctor!
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: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: bypass operations give a more durable result. Should the diet be ignored, especially with high-calorie drinks and liquid food, weight can return.
Roux-en-Y gastric bypass
A small upper-stomach pouch of 50–70 ml is made and connected straight to the small intestine. It restricts how much food is eaten and reduces calorie uptake, as food follows a shorter path through the intestine.
Effectiveness: for a BMI over 45–50 with type 2 diabetes it is deemed the “gold standard”. Loss of excess weight is 75–85%.
Specifics: the result endures better than with alternative bariatric methods. Associated diabetes and hypertension frequently go into remission. Lifelong vitamin and mineral supplements are required because the digestive anatomy changes.
Mini gastric bypass (MGB)
This is an enhanced form of the classic bypass. The standard method differs: here the surgeon makes only one connection (anastomosis) between the small stomach and the small intestine. Thanks to the simpler technique, the patient has an easier time and recovers faster.
Effectiveness: close to the classic Roux-en-Y bypass, with patients losing up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
A modern combined approach, SADI-S merges the benefits of sleeve gastrectomy with those of intestinal bypass. It takes two stages — turning the stomach into a narrow tube, then rerouting the small intestine so that the larger part is excluded from active digestion.
Effectiveness: one of the most powerful bariatric operations — excess weight loss reaches 80–90% with a long-lasting result.
Specifics: removal of the ghrelin-producing zone shrinks the stomach and appetite, and routing food past part of the intestine curbs calorie absorption. Appropriate for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after a sleeve that failed.
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
First comes a consultation with the surgeon — your medical history, the method and a recovery plan
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Last light meal the evening before; stop fluids 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, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons who care about their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained at Mercy clinic led by Vadim Gushchin; a speaker at the 2025 World Congress of bariatric surgery. Co-author of a study published internationally 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
City Medical Centre treats obesity comprehensively. Following the first examination, every patient receives a personal diagnostic program (lab and instrumental) to detect every disorder in the body.
A method matched to your goal
Our doctors tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.
Support that stays in touch
The City Medical Centre team is with you after surgery too. For the full first year, specialists track weight loss, keep an eye on your tests and answer every diet and recovery question.
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
You won't need to visit several clinics. Our centre covers the whole work-up, from our in-house lab to ultrasound and gastroscopy. Quick preparation with no queues, all in one building.
Recovery after bariatric surgery
Recovery varies from person to person, but minimally invasive laparoscopic techniques make rehabilitation as short as it can be.
Duration
Observation at the clinic lasts 1 to 5 days, based on how extensive the surgery is and on related conditions.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
Duration
Observation at the clinic lasts 1 to 5 days, based on how extensive the surgery is and on related conditions.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
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 people confuse the two, but their goals are fundamentally different. Bariatric surgery is a medical treatment for obesity and related diseases. It changes how the digestive tract works, addressing the causes of excess weight and metabolism. Plastic surgery reshapes the body's outer contours; it does not treat obesity or affect metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
We apply modern laparoscopic technique, operating through 4 small punctures of 5 to 15 mm. Thanks to cosmetic sutures, the marks are almost invisible once they heal.
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?
City Medical Centre offers four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is chosen individually according to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy is an option after bariatric surgery, but doctors advise waiting at least 12–18 months. By then the body has stabilized, weight has reached target values and nutritional status has normalized.
Do I need to take vitamins after surgery?
Yes, vitamins become essential after bariatric surgery. The changed digestive anatomy lowers absorption of some nutrients, so regular vitamin and mineral supplements turn into a permanent part of the patient's life.
Can the weight come back?
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.
Prices
Submit an application before the month ends — free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Everything about bariatric surgery for Charlotte patients
SADI-S combines a sleeve with intestinal bypass in two stages and is one of the most powerful bariatric operations, with 80–90% excess weight loss and a long-lasting result. It suits super obesity with a BMI over 50, severe type 2 diabetes, or a second stage after an ineffective sleeve. Anyone in Charlotte in these situations can discuss it at a consultation.
Preparation is practical. Two to four weeks before surgery, cut fast carbohydrates and fats; a month before, quit smoking, reduce physical activity and avoid stress. The day before, switch to light meals, with the last light meal in the evening and last fluids 3–4 hours before the operation. The same plan applies to everyone preparing for bariatric surgery in Charlotte.
If you are comparing bariatric surgery options in Charlotte, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
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