guarantee
Surgical Treatment of Obesity in El Paso
for good —
14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
patients
experience
from excess weight
rating
Surgical Treatment of Obesity in El Paso
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
Not just high BMI: associated health conditions also warrant 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
No durable effect from dieting and medication over several years.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
No durable effect from dieting and medication over several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Weight-loss attempts using conventional methods have not succeeded
Why don't diets and exercise work for everyone?
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Weight-loss attempts using conventional methods have not succeeded
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.
Why don't diets and exercise work for everyone?
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Medical indications
for bariatric surgery
If chronic conditions apply to you, please consult 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
Most of the stomach is removed in the operation, leaving a narrow tube. Portion size falls dramatically and ghrelin, the hunger hormone, declines, meaning the patient gets full much sooner and eats less.
Effectiveness: the method is appropriate for a BMI of 35 to 45. Average loss of excess weight is 60–70%.
Specifics: compared with bypass operations, the result is less stable. When the diet is not followed — notably with high-calorie drinks and liquid food — weight may return.
Roux-en-Y gastric bypass
A small pouch of 50–70 ml is created from the upper stomach and connected directly to the small intestine. Food intake is limited, and fewer calories are absorbed because food travels a shorter path through the gut.
Effectiveness: the operation is considered the “gold standard” for a BMI over 45–50 with type 2 diabetes. Excess weight loss reaches 75–85%.
Specifics: results hold better than with other bariatric methods. Related conditions like diabetes and hypertension frequently go into remission. Since digestive anatomy is altered, vitamin and mineral supplements 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: matches the classic Roux-en-Y bypass — patients' excess weight loss is up to 75–80%.
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)
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: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it 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
Preparing for bariatric surgery at City Medical Centre
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening: last light meal. Fluids: stop 3–4 hours before the operation.
Our specialists
Seasoned bariatric surgeons who look after their patients' well-being
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained with Vadim Gushchin at Mercy clinic, and presented at the 2025 World Congress of bariatric surgery. Co-author of an international paper published in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has carried out the largest number of SASJ operations in the country. Serves on the expert council of the national Society of Bariatric Surgeons and presents regularly at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
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 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
After surgery, the team at City Medical Centre stays with you. For the entire first year, specialists keep track of your weight loss, oversee your tests and answer all questions about diet and recovery.
Fast recovery
The laparoscopic approach to bariatric operations at City Medical Centre greatly reduces recovery. Most patients are mobile on day one and return to everyday life within a week.
Full diagnostics on site
Running around different clinics is not necessary. Our centre has all you need for your work-up, from our lab to ultrasound and gastroscopy. Preparation is fast and queue-free, in one building.
Recovery after bariatric surgery
Each patient recovers differently, but minimally invasive laparoscopic techniques keep rehabilitation as brief 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 early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
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 early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
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?
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?
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 provides four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. We choose each method individually by 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, 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.
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.
Prices
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Service
Discounted price
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Other services at our clinic
Everything about bariatric surgery for El Paso patients
Why do diets fail? The body fights back: metabolism slows, appetite grows, and lost kilos return. When diet changes and medication cannot fundamentally improve the situation, surgery becomes the effective way out. El Paso residents who have tried diets, fasting and pills for years without a lasting result are exactly the patients for whom bariatric operations are intended.
The final result is reached in 1.5–2 years. Throughout the first year the team tracks weight loss, monitors tests and answers questions about diet and recovery, providing psychological and medical support at every stage. For patients in El Paso, regular follow-up with specialists and avoiding high-calorie drinks are the keys to keeping the result for good.
Before spending on another diet, get a professional assessment. A short no-cost talk with the surgeon, about a quarter of an hour, shows whether your BMI and related conditions justify surgery. If they do, one package takes you through tests, the operation, care in the ward and follow-up, with the weight loss result set in a contract. Residents of El Paso can apply online.
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