14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
Laparoscopic Bariatric Surgery in Hamilton
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden extras. Nothing unexpected. One package, start to end.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to 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
Years of diets and medication without any lasting result.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Years of diets and medication without any lasting result.
Surgery is prescribed only when clear criteria are met
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
Key factors
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Why don't diets and exercise work for everyone?
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
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

Sleeve gastrectomy
Most of the stomach is removed during surgery, and what remains becomes a narrow tube. This cuts portion size significantly and reduces ghrelin, the hormone of hunger, so patients feel full sooner and eat less.
Effectiveness: the method is intended for a BMI of 35 to 45. Excess weight goes down by 60–70% on average.
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
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: viewed as the “gold standard” for BMI over 45–50 plus type 2 diabetes. It removes 75–85% of excess weight.
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 procedure improves on the classic bypass. Instead of the standard approach, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. A simpler technique means an easier experience for the patient and a shorter recovery.
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 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: one of the most potent bariatric operations; excess weight loss hits 80–90% and the result is long-lasting.
Specifics: appetite falls as the smaller stomach loses the zone that produces ghrelin, while food rerouted around part of the intestine yields fewer absorbed calories. Right 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
Everything begins with a surgeon's consultation: medical history, method choice and a recovery plan

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

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.

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

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Experienced bariatric surgeons who care about their patients' health

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 performed more SASJ operations than any other surgeon in the country. Part of the expert council of the national Society of Bariatric Surgeons; regularly presents at national and international congresses.
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
Our doctors match the surgical method to each individual patient. They review your health, weight history and accompanying conditions before deciding, to offer you the most appropriate 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
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 don't have to go clinic to clinic. Our centre has everything needed for your work-up — own lab, ultrasound, gastroscopy. Fast preparation, no queues, one building.
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation 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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step of weight loss.

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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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?
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?
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?
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?
Four main bariatric surgery types are available at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is picked individually, considering 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, after bariatric surgery vitamins are a must. The altered digestive anatomy reduces absorption of some nutrients, which makes regular vitamin and mineral supplements a permanent part of the patient's life.
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.
Apply before this month ends to receive a free consultation for any service
Service
Discounted price
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 Hamilton should know that it requires lifelong vitamin and mineral supplements.
A personal coordinator is assigned from day one, so no one goes through the process alone. After the first examination, each patient gets an individual diagnostic programme to identify every disorder in the body. Then the surgeon selects the method and performs the laparoscopic operation, and a doctor stays nearby 24/7. That is the sequence for everyone from Hamilton.
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 Hamilton, the first consultation with the surgeon is free and takes about 15 minutes.
Well-known people who spoke openly about this operation, in their own words.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Apply before the end of the year and get a consultation at the clinic's expense!