14,000 CMC patients already live in a different body. The result is stated in an official contract — in law, not just in talk.
Bariatric Surgery for Patients from Ile-Ife
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden costs. No surprises. A single package for the whole journey.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Related conditions, not just a high BMI, can be grounds for 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.
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 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?
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 check with a clinic doctor if you live with 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
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: the result is not as long-lasting as with bypass surgery. Breaking the diet, particularly through high-calorie drinks and liquid food, can bring weight back.

Roux-en-Y gastric bypass
The surgeon shapes a small pouch, 50–70 ml, from the top of the stomach and routes it directly to the small intestine. Food intake drops and calorie absorption decreases as food covers a shorter distance in the gut.
Effectiveness: the operation counts as the “gold standard” for BMI above 45–50 with type 2 diabetes; 75–85% of excess weight is lost.
Specifics: results last better than after other bariatric methods. Related conditions — diabetes, hypertension — often go into remission. The digestive anatomy is changed, so vitamin and mineral supplements are needed throughout life.

Mini gastric bypass (MGB)
It is an improved variant of the classic bypass. Unlike the standard method, here the surgeon forms only one connection (anastomosis) linking the small stomach to the small intestine. The simpler technique is less demanding and needs less recovery time.
Effectiveness: equal to the classic Roux-en-Y bypass — up to 75–80% of excess weight is shed.
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 method that brings together the advantages of sleeve gastrectomy and intestinal bypass. It is performed in two stages: first the stomach becomes a narrow tube, then the small intestine is rerouted so most of it no longer takes part in active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable 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
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 plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.

Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
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
No one in the country has performed more SASJ operations. On the expert council of the national Society of Bariatric Surgeons; gives regular talks at national and international congresses.
City Medical Centre sees obesity comprehensively. From the first examination, each patient has a personal diagnostic program (lab and instrumental) built to identify every disorder present in the body.

A method matched to your goal
Our doctors choose the surgical method individually for each patient. Before deciding, they review your health, weight history and related conditions to offer the most suitable surgical treatment.

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
There is no need to rush between clinics. Our centre offers your entire work-up — our own lab, ultrasound, gastroscopy. Preparation goes quickly, with no queues, all in one building.
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase 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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.

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
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
Keeping to the specialists' advice, patients lose 10% of their excess weight monthly on average.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
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?
Our approach is modern laparoscopic technique: 4 small punctures of 5 to 15 mm. We use cosmetic sutures, so the marks turn almost invisible after healing.
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?
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 after bariatric surgery are necessary. The body absorbs certain nutrients less well due to the changed digestive anatomy, so regular vitamin and mineral supplements become a permanent part of the patient's life.
Can the weight come back?
Weight can come back after bariatric surgery, but this is very unlikely if you follow your doctor's advice. Proper nutrition, skipping high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Get a free consultation for any service when you apply before the month is out
Service
Discounted price
Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Ile-Ife start thinking about surgery. A consultation is warranted not only by a high BMI but also by related conditions. The surgeon reviews your health and weight history and offers the most suitable of the four surgical methods.
Recovery is short thanks to the minimally invasive technique, and absorbable sutures dissolve on their own. Office work is usually resumed after 2–4 weeks and physical work after about 1.5 months; swimming is allowed after 30 days, with other exercise added gradually. For the first weeks, no sauna or intense training. Ile-Ife residents get the same step-by-step guidance from the team.
What sets this programme apart is a result guarantee written into an official contract: weight loss is fixed legally, not just in words. Surgeons have 9–11 years in the field and work as a permanent team. Ile-Ife residents can tick the situations that sound familiar on the page and then check their case for free with a surgeon.
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Apply before the end of the year and get a consultation at the clinic's expense!