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Obesity Surgery in Dallas: Bariatric Methods
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14,000 CMC patients already live in a new body. An official contract sets out the result with legal force, not as mere words.
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Obesity Surgery in Dallas: Bariatric Methods
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 fees hidden away. No shocks. One package for the whole path.
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
Related conditions, not just a high BMI, can be grounds for a surgical consultation
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.
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
- Conventional weight-loss methods have failed in past attempts
Why don't diets and exercise work for everyone?
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Conventional weight-loss methods have failed in past attempts
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?
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
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
In surgery, most of the stomach is taken out and the rest is formed into a narrow tube. Portions become far smaller and ghrelin, the hormone behind hunger, drops, so the patient feels full quicker and eats less.
Effectiveness: the method is appropriate for a BMI of 35 to 45. Average loss of excess weight is 60–70%.
Specifics: less durable results than bypass operations. Without sticking to the diet, especially avoiding high-calorie drinks and liquid food, the weight may return.
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: viewed as the “gold standard” for BMI over 45–50 plus type 2 diabetes. It removes 75–85% of excess weight.
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)
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: 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)
SADI-S, a modern combined technique, pairs the benefits of sleeve gastrectomy and intestinal bypass. It is carried out in two stages: the stomach is reshaped into a narrow tube, after which the small intestine is rerouted so most of it is bypassed in active digestion.
Effectiveness: one of the most potent bariatric operations; excess weight loss hits 80–90% and the result is long-lasting.
Specifics: a smaller stomach reduces appetite by removing the ghrelin-producing zone, and rerouting food past part of the intestine limits calorie absorption. It suits 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
Preparing for bariatric surgery at City Medical Centre
Step one is a consultation with the surgeon: your history, the right method and a recovery plan
Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, 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, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, 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, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Our specialists
Seasoned bariatric surgeons who look after their patients' well-being
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Mercy clinic training under Vadim Gushchin; speaker at the World Congress of bariatric surgery (2025). Among the co-authors of an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has done more SASJ operations than anyone else in the country. Sits on the expert council of the national Society of Bariatric Surgeons and regularly speaks at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre sees obesity comprehensively. From the first examination, each patient has a personal diagnostic program (lab and instrumental) built to identify every disorder present in the body.
A method matched to your goal
Our doctors select the surgical method for each patient individually. Before deciding, they assess your health, weight history and related conditions to suggest the most suitable surgical treatment.
Support that stays in touch
The City Medical Centre team remains by your side after surgery. For the whole first year, specialists follow your weight loss, check your tests and answer every question about 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.
Recovery after bariatric surgery
While recovery is largely individual, minimally invasive laparoscopic techniques keep rehab time 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
Soon after surgery — within the first hours — you may sit up, stand and take fluids.
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
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
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Recovery is supervised by City Medical Centre specialists, who provide psychological and medical support at every stage of weight loss.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
Soon after surgery — within the first hours — you may sit up, stand and take fluids.
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
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
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Recovery is supervised by City Medical Centre specialists, who provide 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
Frequently asked questions
about bariatric surgery at CMC
Bariatric vs plastic surgery: what's the difference?
These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Modern laparoscopic technique allows the operation through 4 small punctures of 5 to 15 mm. Cosmetic sutures make the marks almost invisible when fully healed.
What diet do I need to follow?
Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.
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?
Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.
Do I need to take vitamins after surgery?
Yes, vitamins after bariatric surgery are a must. Because the digestive anatomy changes, the body absorbs some nutrients less well, so regular vitamin and mineral supplements become a permanent part of the patient's life.
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.
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Bariatric surgery in Dallas: 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. Dallas patients receive a personal assessment against these points.
It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Dallas then complete a work-up — blood and urine tests, biochemistry, HbA1c, coagulation, chest X-ray, ECG, abdominal and kidney ultrasound, leg vein Doppler and a required gastroscopy — plus consultations with a GP, endocrinologist, psychiatrist, cardiologist and, for women, a gynecologist.
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. Dallas 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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