guarantee
Obesity Surgery in Detroit: Bariatric Methods
for good —
14,000 CMC patients already live in a new body. The result is fixed in an official contract, legally and not only verbally.
patients
experience
from excess weight
rating
Obesity Surgery in Detroit: 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 hidden costs. No surprises. A single package for the whole 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
A surgical consultation is warranted not only by a high BMI but also by related conditions
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)
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional means
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional means
The role of body mass index (BMI)
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Medical indications
for bariatric surgery
Please speak with a clinic physician 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
Bariatric surgery methods at City Medical Centre
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: the method is used for a BMI of 35 to 45; average loss is 60–70% of excess weight.
Specifics: results are less lasting than with bypass surgery. Weight can return if the diet is not kept, especially with high-calorie drinks and liquid foods.
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: known as the “gold standard” for a BMI over 45–50 combined with type 2 diabetes. Excess weight loss hits 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)
It is an improved variant of the classic bypass. Unlike the standard method, here the surgeon forms only one connection (anastomosis) linking the small stomach to the small intestine. The simpler technique is less demanding 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: less time in surgery and a faster recovery. Technically the procedure is reversible, though the single anastomosis brings 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: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
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
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan
Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
2–4 weeks out, give up fast carbs and fats; switch to light meals on the day before surgery.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
X-ray of the chest, ECG, kidney and abdominal ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
2–4 weeks out, give up fast carbs and fats; switch to light meals on the day before surgery.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons devoted to 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.
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
The surgical method is selected individually by our doctors for every patient. Your health, weight history and related conditions are reviewed first, so the most suitable surgical treatment can be offered.
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
At City Medical Centre bariatric surgery is laparoscopic, making recovery much shorter. Most patients are up and walking on the first day and resume normal life within a week.
Full diagnostics on site
You don't have to go clinic to clinic. Our centre has everything needed for your work-up — own lab, ultrasound, gastroscopy. Fast preparation, no queues, one building.
Recovery after bariatric surgery
Recovery depends heavily on the individual, but minimally invasive laparoscopic methods keep rehabilitation as short as possible.
Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any 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
You can go back to work 7–14 days after surgery, depending on how physical the job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
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! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step of weight loss.
Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any 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
You can go back to work 7–14 days after surgery, depending on how physical the job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
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! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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?
It is common to confuse them, but their goals are fundamentally different. Bariatric surgery treats obesity and related diseases medically. By changing how the digestive tract works, it addresses the causes of excess weight and metabolism. Plastic surgery shapes the body's outer contours; it does not treat obesity and has no effect on metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Using modern laparoscopic technique, we perform the operation via 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, leaving marks that are nearly invisible after healing.
What diet do I need to follow?
The diet shifts in stages — liquid, then soft, then solid food. Protein is the priority, while high-calorie, fatty food is limited.
What types of bariatric surgery are there?
Four main bariatric surgery types are available at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is picked individually, considering BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Bariatric surgery does not rule out pregnancy, but doctors suggest waiting 12–18 months or more. During that time the body settles, weight reaches target values and nutrition 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?
Regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, no high-calorie drinks and regular follow-up visits with City Medical Centre specialists make the difference.
Prices
Send a request before month-end for a free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Weight loss surgery in Detroit step by step
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 Detroit in these situations can discuss it at a consultation.
It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Detroit 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.
Weight loss is written into the contract, and the package includes every stage: consultation, diagnostics, the operation, inpatient care with meals and a year of support. A personal coordinator guides you from day one. To begin, patients from Detroit leave a request on the page or message the clinic, then receive a free consultation with a bariatric surgeon.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Get a consultation
Apply before the end of the year and get a consultation at the clinic's expense!