14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
Bariatric Surgery in Glasgow with a Contract Guarantee
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Nothing hidden, nothing unexpected. One package for every step.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Seeing a surgeon is justified by related conditions as well, not by a high BMI alone
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.
Surgery is prescribed only when clear criteria are met
BMI serves as the chief indicator of obesity severity. Divide body weight (kg) by height squared (m²) to calculate it. Surgery is normally justified at BMI above 40, or above 35 with serious accompanying conditions. In selected cases it is considered at lower values as well — if non-surgical methods did not help.
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
Key factors
The role of body mass index (BMI)
BMI serves as the chief indicator of obesity severity. Divide body weight (kg) by height squared (m²) to calculate it. Surgery is normally justified at BMI above 40, or above 35 with serious accompanying conditions. In selected cases it is considered at lower values as well — if non-surgical methods did not help.
Why don't diets and exercise work for everyone?
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
Please consult a clinic doctor 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

Sleeve gastrectomy
The surgeon removes the larger part of the stomach so it becomes a narrow tube. This strongly reduces how much fits in a portion and lowers ghrelin, the hunger hormone; the patient feels full faster and eats less.
Effectiveness: the method suits a BMI of 35 to 45. On average patients lose 60–70% of their excess weight.
Specifics: durability is lower than with bypass operations. If the diet slips, especially with high-calorie drinks and liquid food, lost weight may come back.

Roux-en-Y gastric bypass
The surgeon creates a small 50–70 ml pouch at the top of the stomach and connects it directly to the small intestine. This limits food intake and reduces calorie absorption by shortening the path food travels through the gut.
Effectiveness: considered the “gold standard” when BMI exceeds 45–50 with type 2 diabetes. Patients lose 75–85% of excess weight.
Specifics: the effect lasts longer than with other bariatric methods. Related diseases, including diabetes and hypertension, often reach remission. As digestive anatomy changes, supplements of vitamins and minerals are needed for life.

Mini gastric bypass (MGB)
This is an enhanced form of the classic bypass. The standard method differs: here the surgeon makes only one connection (anastomosis) between the small stomach and the small intestine. Thanks to the simpler technique, the patient has an easier time and recovers faster.
Effectiveness: equal to the classic Roux-en-Y bypass — up to 75–80% of excess weight is shed.
Specifics: surgery takes less time and recovery is faster. It can technically be reversed; the single anastomosis, though, poses a risk of bile reflux.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combination technique that draws on the benefits of both sleeve gastrectomy and intestinal bypass. In two stages, the stomach is first converted into a narrow tube and the small intestine is then rerouted to exclude its greater part from active digestion.
Effectiveness: among the most powerful bariatric operations — excess weight loss reaches 80–90% with a lasting result.
Specifics: a reduced stomach without its ghrelin-producing zone means less appetite, and diverting food past part of the intestine restricts calorie absorption. It is suited to super obesity (BMI over 50), severe type 2 diabetes, or 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
We start with a surgical consultation: history taking, choosing the method and planning recovery

Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).

Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.

Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).

Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Experienced bariatric specialists who are committed to patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained at Mercy clinic led by Vadim Gushchin; a speaker at the 2025 World Congress of bariatric surgery. Co-author of a study published internationally in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Performed the highest number of SASJ operations in the country. An expert council member of the national Society of Bariatric Surgeons who often presents at national and international congresses.
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
Each patient gets an individually chosen surgical method from our doctors. Before a decision, they look at your health, weight history and associated conditions to recommend the most fitting surgical treatment.

Support that stays in touch
Once the operation is done, the City Medical Centre team stays alongside you. Throughout the first year specialists follow your weight loss, review tests and answer all questions on diet and recovery.

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
Skip the trips between clinics. Our centre provides everything for your work-up, our own lab through ultrasound and gastroscopy. Prep is quick and free of queues, all in one building.
Recovery depends heavily on the individual, but minimally invasive laparoscopic methods keep rehabilitation as short as possible.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
A staged diet is prescribed for 1–2 months — from liquids to solids to let the stomach adapt.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! Specialists at City Medical Centre supervise recovery, providing medical and psychological support across every stage of weight loss.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
A staged diet is prescribed for 1–2 months — from liquids to solids to let the stomach adapt.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! Specialists at City Medical Centre supervise recovery, providing medical and psychological support across 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
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?
Diet changes happen in stages, from liquids to soft food and then solids. It centers on protein and limits high-calorie, fatty food.
What types of bariatric surgery are there?
At City Medical Centre there are four main types of bariatric surgery — sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Every method is chosen individually from BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.
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?
Weight can be regained after bariatric surgery, but this is very unlikely with the doctor's advice followed. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are crucial.
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Service
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Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in Glasgow should know that it requires lifelong vitamin and mineral supplements.
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 Glasgow, regular follow-up with specialists and avoiding high-calorie drinks are the keys to keeping the result for good.
If you are comparing bariatric surgery options in Glasgow, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
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Apply before the end of the year and get a consultation at the clinic's expense!