guarantee
Weight Loss Surgery in Enugu
Lose 30–70 kg
for good — no diets, no regaining the weight
14,000 CMC patients already live in a new body. An official contract sets out the result with legal force, not as mere words.
patients
experience
from excess weight
rating
Weight Loss Surgery in Enugu
for good — no diets, no regaining the weight
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.
Results of our patients
Real before and after photos of City Medical Centre patients. Results are individual.
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfter
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 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
- Previous tries at losing weight with ordinary methods have failed
Why don't diets and exercise work for everyone?
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Previous tries at losing weight with ordinary methods have failed
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?
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
Medical indications
for bariatric surgery
Have chronic conditions? Please consult one of the clinic's doctors!
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
During the procedure the surgeon removes the greater part of the stomach, forming a narrow tube. Portions get far smaller and ghrelin, the hunger hormone, decreases, so the patient is satisfied faster and eats less.
Effectiveness: works for a BMI from 35 to 45. On average, 60–70% of the excess weight is lost.
Specifics: the outcome lasts less reliably than after bypass. Weight can come back if the diet is neglected, above all with high-calorie drinks and liquid food.
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: 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 a refined form of the classic bypass. Unlike the standard technique, the surgeon makes just one connection (anastomosis) between the small stomach and the small intestine. The simpler approach is gentler on the patient and requires less recovery time.
Effectiveness: similar to the classic Roux-en-Y bypass; up to 75–80% of excess weight is lost.
Specifics: the operation is shorter and recovery faster. Reversal is technically possible, but a single anastomosis means a risk of bile reflux.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combined technique that unites the benefits of sleeve gastrectomy and intestinal bypass. It is done in two stages: first the stomach is turned into a narrow tube, then the small intestine is rerouted so that most 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 smaller stomach, minus its ghrelin-producing zone, dampens appetite, and bypassing a portion of the intestine limits calorie absorption. It is an option in 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
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and cardiologist, plus gynecologist (women).
Diet
Avoid fast carbs and fats during the 2–4 weeks before surgery; eat lightly the day before.
Lifestyle
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and cardiologist, plus gynecologist (women).
Diet
Avoid fast carbs and fats during the 2–4 weeks before surgery; eat lightly the day before.
Lifestyle
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Our specialists
Skilled bariatric surgeons who genuinely care about patient health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Studied at Mercy clinic under Vadim Gushchin and gave a talk at the World Congress of bariatric surgery in 2025. Co-author of international research published in The Lancet.
Andrey G. Ugay
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.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.
A method matched to your goal
The surgical method is chosen by our doctors on an individual basis. They first review your health, your weight history and related conditions, then offer the surgical treatment that suits you best.
Support that stays in touch
City Medical Centre's team stays with you once surgery is over. During the first year, specialists monitor your weight loss and test results and answer any questions on diet and recovery.
Fast recovery
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back to normal life within a week.
Full diagnostics on site
No need to travel between clinics. From our own lab to ultrasound and gastroscopy, the centre has all you need for your work-up. Preparation is fast, without queues, 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 is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
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! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every stage 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
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
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! City Medical Centre specialists supervise your recovery and support you psychologically and medically 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?
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?
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?
You move through diet stages from liquid food to soft and finally solid. Protein comes first, and high-calorie, fatty food is restricted.
What types of bariatric surgery are there?
City Medical Centre performs four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is chosen individually based on BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.
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?
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
A free consultation for any service if you apply before the end of the month
Service
Discounted price
Other services at our clinic
Weight loss surgery in Enugu step by step
All bariatric operations here are laparoscopic, performed through four small punctures of 5 to 15 mm with cosmetic sutures, so the marks become almost invisible after healing. This greatly shortens recovery. For those from Enugu, the choice between sleeve, classic bypass, mini bypass and SADI-S depends on BMI, related diseases and the result you want to reach.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Enugu discuss these points with the surgeon well before the operation date.
Your investment covers more than surgery. The package includes the full diagnostic programme, the chosen laparoscopic method, inpatient care with food and nursing staff, round-the-clock medical presence and specialists tracking your weight and tests throughout the first year. For people searching for weight loss surgery in Enugu, the first consultation with the surgeon is free and takes about 15 minutes.
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Get a consultation
Apply before the end of the year and get a consultation at the clinic's expense!