guarantee
Surgical Treatment of Obesity in Evaton
for good —
14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
patients
experience
from excess weight
rating
Surgical Treatment of Obesity in Evaton
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
All costs upfront, 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
A high BMI is not the only reason to see a surgeon — related conditions count too
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)
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
- Conventional weight-loss methods have failed in past attempts
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
- Conventional weight-loss methods have failed in past attempts
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?
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
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
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 intended for a BMI of 35 to 45. Excess weight goes down by 60–70% on average.
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 forms a small 50–70 ml pouch at the top of the stomach and joins it straight to the small intestine. This restricts food intake and cuts calorie absorption by shortening the route food takes through the gut.
Effectiveness: with a BMI over 45–50 and type 2 diabetes, this is the “gold standard”. Excess weight loss is as high as 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)
The classic bypass, improved. Unlike the standard method, the surgeon forms just one connection (anastomosis) between the small stomach and the small intestine. A simpler technique puts less strain on the patient and cuts the time needed to recover.
Effectiveness: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
Specifics: brief surgery and rapid recovery. While technically reversible, the procedure has a bile reflux risk linked 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 the most powerful bariatric operations — excess weight loss reaches 80–90% with a lasting result.
Specifics: with the ghrelin-producing zone removed, the smaller stomach reduces appetite; redirecting food past part of the intestine limits calorie uptake. Used for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage when a sleeve was ineffective.
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
The first step is a surgeon's consultation covering medical history, method selection and recovery plan
Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
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
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
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
Bariatric surgeons with experience who put patients' health first
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
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 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
Choosing the surgical method is individual for each patient at our clinic. Doctors first review your health, history of weight and related conditions and then propose the most suitable surgical option.
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
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
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase as short as possible.
Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and 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
You can resume working 7–14 days after surgery, based on how physically demanding your job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block 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 remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and 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
You can resume working 7–14 days after surgery, based on how physically demanding your job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block 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?
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?
We work with modern laparoscopic technique. The operation needs only 4 small punctures, 5 to 15 mm each. Cosmetic sutures are applied, so healed marks are almost invisible.
What diet do I need to follow?
Your diet changes in stages: from liquid food to soft, then to solid. The focus is on protein and on limiting high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre performs four core types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Selection is individual and takes into account 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, vitamins are a must after bariatric surgery. Changes in digestive anatomy mean the body absorbs some nutrients less effectively, so regular vitamin and mineral supplements are part of the patient's life for good.
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
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When bariatric surgery in Evaton makes sense
Surgery is usually justified with a BMI above 40, or above 35 when serious related conditions are present, and sometimes at lower values if other approaches have failed. People in Evaton who have carried 30 kg or more above normal for years, whose weight returns after every diet, or who live with type 2 diabetes, hypertension or joint pain are typical candidates.
It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Evaton 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.
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 Evaton, the first consultation with the surgeon is free and takes about 15 minutes.
Stories of well-known people
Well-known people who spoke openly about this operation, in their own words.
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