guarantee
Bariatric Surgery for Patients from Genoa
for good —
14,000 CMC patients already live in a new body. The outcome is set down in a formal contract: legally binding, not just promised.
patients
experience
from excess weight
rating
Bariatric Surgery for Patients from Genoa
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
It is not only a high BMI that justifies a surgical consult — related diseases do 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
No lasting outcome from diets and medication across 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 lasting outcome from diets and medication across several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Earlier attempts to lose weight by conventional means 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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Earlier attempts to lose weight by conventional means have failed
The role of body mass index (BMI)
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
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
Chronic illness? Please talk to a doctor at the clinic first!
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 the operation the surgeon removes most of the stomach, leaving a narrow tube. Portions become much smaller and levels of ghrelin, the hunger hormone, fall, so the patient feels full far sooner and eats less.
Effectiveness: the method suits a BMI of 35 to 45. On average patients lose 60–70% of their excess weight.
Specifics: the effect is less durable than with bypass procedures. Ignoring the diet, especially high-calorie drinks and liquid meals, may bring the weight back.
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: this operation is seen as the “gold standard” with a BMI above 45–50 and type 2 diabetes. Excess weight falls by up to 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: 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)
SADI-S is a contemporary combined technique uniting what is best in sleeve gastrectomy and intestinal bypass. Two stages are involved: first a narrow tube is formed from the stomach, then the small intestine is rerouted, leaving most of it outside active digestion.
Effectiveness: one of the most potent bariatric operations; excess weight loss hits 80–90% and the result is long-lasting.
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
Step one is a consultation with the surgeon: your history, the right method and a recovery plan
Lab tests
Biochemistry, HbA1c, complete blood count, urinalysis and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and 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
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
Biochemistry, HbA1c, complete blood count, urinalysis and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and 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
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
Experienced bariatric surgeons who care about their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Completed training at Mercy clinic with Vadim Gushchin; presented at the World Congress of bariatric surgery (2025). Co-authored an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Holds the country's record for the number of SASJ operations performed. Member of the expert council of the national Society of Bariatric Surgeons; a regular speaker at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
At City Medical Centre, obesity is approached as a whole. After the initial examination each patient is given an individual diagnostic program, both lab and instrumental, to find all disorders 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
You won't need to visit several clinics. Our centre covers the whole work-up, from our in-house lab to ultrasound and gastroscopy. Quick preparation with no queues, all in one building.
Recovery after bariatric surgery
Much of recovery depends on the individual, but minimally invasive laparoscopic techniques keep the rehab stage as short as possible.
Duration
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
The first weeks exclude bathhouse, sauna and intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent 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
A clinic stay of 1 to 5 days under observation follows, depending on surgical extent and related conditions.
Activity
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
The first weeks exclude bathhouse, sauna and intense physical exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent 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?
Many mix them up, but they pursue fundamentally different goals. Bariatric surgery medically treats obesity and related diseases by changing how the digestive tract functions, addressing the causes of excess weight and metabolism. Plastic surgery reshapes the external contours of the body; it does not treat obesity or influence metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Our surgeons use modern laparoscopic technique: the operation goes through 4 small 5 to 15 mm punctures. With cosmetic sutures, the marks become almost invisible once healed.
What diet do I need to follow?
The diet evolves in steps — from liquids to soft, then solid food — with a focus on protein and limits on 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?
After bariatric surgery pregnancy is possible, yet doctors recommend at least 12–18 months of waiting. Meanwhile the body stabilizes, weight arrives at target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins are essential after bariatric surgery. As digestive anatomy changes, the body absorbs certain nutrients less well, so regular vitamin and mineral supplements become a lasting part of the patient's life.
Can the weight come back?
Weight regain is possible after bariatric surgery but very unlikely provided you follow the doctor's advice. Eat properly, avoid high-calorie drinks and keep up regular follow-up with City Medical Centre specialists.
Prices
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Service
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When bariatric surgery in Genoa makes sense
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 Genoa in these situations can discuss it at a consultation.
Eating changes in stages. A staged diet lasts 1–2 months, moving from liquid to soft to solid food so the stomach can adapt, with the focus on protein and limited high-calorie, fatty dishes. Following specialist advice, patients lose on average 10% of excess weight per month. Those from Genoa build stable eating habits that keep the weight from returning.
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 Genoa, the first consultation with the surgeon is free and takes about 15 minutes.
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