City Medical Centre · multi-specialty surgery clinicOpen 24/7
EN
Message us on Telegram

Bariatric surgery

Bariatric Operations in Juba: Who They Suit

Discounted price

$3,600

$4,800 · First consultation — Free

Real result
Bariatric surgery: a patient before surgery and after weight loss before after
Weight loss with care and support
at each step. We discuss your surgery and recovery plan for free — before you choose.

Message our coordinator

Free online consultation · Reply within 15 minutes

Message us on Telegram

By messaging us, you agree to our Privacy Policy

Results

Weight loss results of our patients

These are real patients treated at the clinic.

Irina, 26 — before and after bariatric surgerybeforeafter

Irina, 26

Bariatric surgery

Angelina, 22 — before and after bariatric surgerybeforeafter

Angelina, 22

Bariatric surgery

Anna, 31 — before and after bariatric surgerybeforeafter

Anna, 31

Bariatric surgery

Veronika, 25 — before and after bariatric surgerybeforeafter

Veronika, 25

Bariatric surgery

Valentina, 23 — before and after bariatric surgerybeforeafter

Valentina, 23

Bariatric surgery

Evgenia, 41 — before and after bariatric surgerybeforeafter

Evgenia, 41

Bariatric surgery

Anna, 27 — before and after bariatric surgerybeforeafter

Anna, 27

Bariatric surgery

Veronika, 26 — before and after bariatric surgerybeforeafter

Veronika, 26

Bariatric surgery

Kristina, 23 — before and after bariatric surgerybeforeafter

Kristina, 23

Bariatric surgery

Anna, 24 — before and after bariatric surgerybeforeafter

Anna, 24

Bariatric surgery

Veronika, 34 — before and after bariatric surgerybeforeafter

Veronika, 34

Bariatric surgery

Comparison

Weight loss
methods

Choose your method with confidence by comparing our two main procedures — sleeve gastrectomy and gastric bypass — in terms of how they work, their purpose and their indications.

Sleeve gastrectomy

A smaller stomach volume

A surgeon explains sleeve gastrectomy to a patient on an anatomical model

Discounted price

$3,600 $4,800

Main goal
Weight loss, feeling full quickly
When it is done
Obesity without marked reflux
Anaesthesia and stay
General anaesthesia, hospital stay of 1–3 to 4–5 days

Gastric bypass

The stomach is made smaller and food is rerouted

A surgeon shows a patient on a model how gastric bypass is done

Discounted price

$4,000 $5,200

Main goal
Weight loss, better metabolism
When it is done
Obesity, diabetes or reflux
Anaesthesia and stay
General anaesthesia, hospital stay of 1–3 to 4–5 days

The benefits and recovery times are method averages meant as a guide; the actual scope of the operation and your recovery depend on your anatomy and individual features. The surgeon confirms them at the consultation.

Book a consultation

The clinic

A clinic where you can feel at ease

Modern equipment, comfortable rooms and care for every patient

A doctor and a patient in a clinic ward

Write or call us the way you prefer

We answer your questions and pick a convenient consultation time

Get a consultation

Bariatric surgery does not suit everyone

Only after a consultation and check-up is the decision on surgery made, jointly with the surgeon.

SuitableBariatric surgery helps with

A bariatric surgeon explains the indications for surgery to a patient
  • Excess weight
  • Hypertension
  • Type 2 diabetes
  • Sleep apnea
  • Varicose veins
  • Joint disease
  • Fatty liver disease
  • Reproductive health problems

Not suitableContraindications

A surgeon discusses contraindications to bariatric surgery with a patient
  • Age under 18
  • Malignant tumors
  • Pregnancy
  • Blood clotting disorders
  • Severe chronic and mental illness
  • Acute illness or flare-ups of chronic disease
  • Less than six months since breastfeeding ended

Unsure which column describes you?

Get in touch on Telegram — our coordinator will explain whether bariatric surgery is right for you. The consultation with a surgeon is free, and there is no commitment to an operation.

Find out if it suits me
A clinic coordinator talks to a patient in the waiting area

Prices

You know the price
before surgery

Once your plan is ready, the price is given at the consultation and set in the contract.

Discounted price

Sleeve gastrectomy

A smaller stomach volume

Surgeons during a sleeve gastrectomy

$3,600$4,800

Lock in the price

Discounted price

Gastric bypass

Weight loss and rerouting food

A surgeon during a gastric bypass

$4,000$5,200

Lock in the price

Free

First consultation

The surgeon examines you and draws up a treatment plan

First consultation

Free

the cost of surgery is named
and fixed in the contract

Book a consultation

Find out your method and the cost of surgery

Your doctor assesses your health, discusses your goals and chooses the appropriate bariatric surgery method. The consultation gives you the cost, which is fixed in the contract.

A nurse and a patient in a clinic ward after bariatric surgery

Message our coordinator

Free online consultation · Reply within 15 minutes

Message us on Telegram

By messaging us, you agree to our Privacy Policy

A bariatric surgeon discusses a treatment plan with a patient

price

What the $3,600 (≈ SSP 20,500,000) price includes

From preparation to 12 months of support, all in one package. No added fees.From getting ready for surgery
to 12 months of support.

  • Surgery and the surgeon's work
  • General anaesthesia
  • Inpatient care after surgery
  • A slimmer, healthier body
  • Meals at the clinic
  • Support while you keep the weight off
  • One coordinator with you from day one
  • Remote progress check by photos

$3,600$4,800

Discounted price

Lock in the price

Step by step

Treatment at the clinic —
from admission to discharge

Hospital monitoring, a treatment plan agreed with you and a year of support.

A bariatric surgeon shows a patient the surgery plan on a tablet1

Consultation and a treatment plan

The doctor reviews your health and goals and orders the tests required to decide on the right bariatric surgery method.

Booking the surgery date2

Booking your operation date

We reserve your surgery date; the deposit can be made by card in the clinic or by online bank transfer. The contract for medical services sets the terms

A blood sample tube for tests before bariatric surgery3

Tests before surgery

Blood and urine tests, an ECG, an ultrasound, a gastroscopy and specialist visits come before surgery. At the consultation the doctor gives you the exact list.

Surgeons performing a bariatric operation4

Surgery

Using the chosen method, the surgeon performs the bariatric surgery under general anaesthesia. Once it is over, the medical team monitors the patient.

A hospital ward at the clinic5

Inpatient stay

After the operation you stay in hospital under doctors' supervision for 1–3 to 4–5 days, depending on the complexity of the operation and how you feel.

A doctor and a patient in the ward during recovery6

Recovery

You leave with advice on diet and recovery. Scheduled check-ups then track how you feel, your weight and your test results, and the clinic team stays with you for a year.

Your plan is drawn up at the consultation, where the doctor explains how the surgery will go

A surgeon shows a patient the result forecast on a tablet

You pay nothing for the consultation, happens before surgery, with no obligation.

Book a consultation
A surgeon shows a patient the result forecast on a tablet

Doctors

Surgeons you can rely on

Bariatric surgeon Andrey G. Ugay

Andrey G. Ugay

View profile

27 years of experience

Lead bariatric surgeon
Surgeon

  • Has performed the largest number of SASJ operations in the country
  • Expert council member of the national Society of Bariatric Surgeons
  • Speaks regularly at national and international congresses
Bariatric surgeon Ruslan S. Menzulin

Ruslan S. Menzulin

View profile

9 years of experience

Bariatric surgeon
Surgical oncologist

  • Trained at Mercy clinic (USA) under Vadim Gushchin
  • Spoke at the World Congress of bariatric surgery in Santiago (2025)
  • Co-author of an international study published in The Lancet

The surgeon operates and then follows you, from the very first consultation to the result.

The patient care manager holds your first consultation free of charge: they work out your BMI, explain the methods and book your appointment with the surgeon.

Book a consultation

Coordinators

Clinic coordinators

You have our support at every step

Your personal coordinator

Your first contact at the clinic, all the way from your first message to the consultation

Patient support

Answers your questions before the first consultation and helps select a date that works for you

  • Explains each step of preparation
  • Reminds you about tests and check-ups
Your personal coordinator

With you before and during your stay — from booking to discharge

Patient support

Helps with your preparation for surgery and stays in touch throughout your clinic stay

  • Supports you before and after surgery
  • Helps with documents and bookings
Your personal coordinator

With you all through recovery, from discharge to the final check-up

Patient support

Stays in touch while you recover and books your follow-up visits with the surgeon

  • Answers questions during recovery
  • Books follow-up visits

Advantages

Why patients come to City Medical Centre

A surgeon consults a patient in the clinic

An individual approach at each stage

We pick the best method for your health, lifestyle and goals, and our team is with you all the way.

A tablet with a meal plan and a patient's diary after bariatric surgery

Long-term
care after surgery

Adapting to new eating habits, tracking and keeping results — we help with it.

A patient at the clinic

Real and lasting results

Stable weight loss, improved well-being and a higher quality of life.

A patient picks a convenient visit time in her planner and phone calendar

We work around your schedule

We adapt to your pace and respect your time — easy booking, a personal approach and open 24/7.

A contract with a fixed price for surgery and no hidden fees

Fixed prices

Following the consultation, the surgeon picks the method and you get a clear price — without hidden fees or surprises on the way to your result.

Prices

Bariatric surgery prices

Send a request before month-end for a free consultation on any service

  • Bariatric surgeon consultation

    Free

    Book

  • Sleeve gastrectomy

    Price without discount: $4,800$3,600

    Book

  • Gastric bypass

    Price without discount: $5,200$4,000

    Book

FAQ

Answers to common questions
before booking

Bariatric Surgery in Juba: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to SSP at the rate of 02.10.2026. The final price is fixed in your contract.

How much does bariatric surgery in Juba cost?

Prices start from $3,600 (≈ SSP 20,500,000). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.

What is included in the price?

General anaesthesia, a personal coordinator from day one, monitoring in the hospital and support for one year.

How long do the procedure and recovery take?

The hospital stay is 1–5 days, depending on the method and how you feel. Office work is possible after 2–4 weeks.

Is the first consultation free?

Yes. The first consultation is free and does not oblige you to anything. You can start online by sending a message to the coordinator.

How do I get my exact price?

Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.

Message us on Telegram

By messaging us, you agree to our Privacy Policy

Bariatric surgery in Juba: from consultation to result

Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Juba 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.

During the operation the surgeon works laparoscopically, which keeps rehabilitation as short as possible. Right after, you are under round-the-clock care in a ward, with meals and nursing included. After discharge, most people in Juba return to office work in 2–4 weeks, following a diet plan and avoiding saunas and heavy exercise for the first weeks.

One package covers the full journey, from consultation to final result. There are no separate charges added later: ward, meals, nursing care and coordinator support are included. To find out whether surgery suits you, patients in Juba can book a free surgeon consultation; the doctor reviews BMI, health and weight history and recommends a method.

Patient reviews

What patients write after this operation. Reviews are translated from the original language.

Irina, 26

For a long time I doubted whether to go ahead with surgery, but after the consultation I felt much calmer. Andrey Georgievich explained in detail how gastric bypass is done, what to expect after the operation and how recovery would go. I especially liked that they talked to me calmly and without pressure. I am now gradually getting used to my new way of life and I am very glad I took this step.

Bariatric surgery

Doctor: Andrey G. Ugay

Angelina, 22

For me the hardest part was deciding to have the operation. At the consultation Ruslan Sergeyevich answered all my questions in detail and explained the specifics of sleeve gastrectomy and recovery. After the operation I always understood what I was doing and why. Thank you to the doctor and the whole team for their attentiveness.

Bariatric surgery

Doctor: Ruslan S. Menzulin

Anna, 31

For a very long time I tried to deal with my excess weight on my own, but I did not get the result I wanted. After the consultation with Andrey Georgievich I finally understood what to do next. I came through the operation well, and my recovery was supervised by the doctors. It was important for me to feel that I was not left alone after surgery.

Bariatric surgery

Doctor: Andrey G. Ugay

Veronika, 25

Before the operation I had many fears, mostly of the unknown. Ruslan Sergeyevich explained every stage of treatment in detail and answered even the simplest questions. Thanks to that I felt much more confident. I keep following the recommendations and I am gradually seeing the changes I had the operation for.

Bariatric surgery

Doctor: Ruslan S. Menzulin

Valentina, 23

The decision to have bariatric surgery was not easy for me. I worried both about the operation itself and about how my life would change afterwards. At the consultation Andrey Georgievich explained everything in detail, so little by little my fear turned into confidence. What matters most to me now is the result and the chance to treat my health and lifestyle differently.

Bariatric surgery

Doctor: Andrey G. Ugay

Anna, 27

I am very grateful to Ruslan Sergeyevich for his attentiveness. Before the operation I had a huge number of questions, and I got a clear answer to every one of them. After the operation it was also clear which recommendations to follow and how to eat. It was important to me that the doctor stayed in touch and I felt supported at every stage.

Bariatric surgery

Doctor: Ruslan S. Menzulin

All patient reviews

Page medically reviewed by Andrey G. Ugay, lead bariatric surgeon. Review date: .

Juba and why weight surgery is discussed here more often

Juba is the capital and largest city of South Sudan, standing on the White Nile and serving as the capital of Central Equatoria State. In 2017 the city had a population of 525,953. It grew quickly after 2005 and especially after independence in 2011, and many residents arrived from the countryside looking for work and a steadier income. Daily life here is busy, and for many families health questions are pushed behind work, school fees and household duties.

Because of that pace, a decision about bariatric surgery (sleeve gastrectomy or gastric bypass) is rarely made quickly. People in Juba usually start by reading, asking relatives and colleagues, and comparing what they hear. The aim of this text is to give a calm, practical picture of how the operation fits into life in your city: when to plan it, how to arrange work and family, and what to ask the surgeon.

Excess weight is a recognised health problem worldwide, and the World Health Organization describes obesity as a chronic condition linked to diabetes, heart disease and joint problems. If your weight is already affecting your blood sugar, blood pressure, sleep or mobility, a consultation is a sensible next step, not a final decision.

How the remote consultation works for a patient in Juba

You do not need to leave Juba for the first stage. The consultation is online and free. You write to the coordinators on WhatsApp or Telegram, and they are available around the clock, 24/7. A coordinator will call you back 24/7, so you can choose a moment that suits your own working day, whether that is early morning before the heat or in the evening at home.

Before the call it helps to prepare a short summary: your height and weight, the diseases you have been told about, medicines you take, previous operations, and any attempts at losing weight through diet, exercise or supervised programmes. Photos or scans of existing tests are useful. If the mobile network in your part of Juba is unstable, send the documents by message first, so that the conversation can be shorter and calmer.

The approach is personal and adapts to your pace. You can ask questions several times, discuss the plan with your family and return to the conversation after you have thought about it. The surgeon confirms at the consultation whether surgery suits you; the coordinator does not make this decision.

Who is usually a candidate and who needs extra caution

BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight in kilograms by height in metres squared. Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too, if non-surgical approaches have failed.

For a resident of Juba this means a simple home calculation before the first contact: measure your height honestly, weigh yourself in the morning, and write both numbers down. Then list the related conditions you know about, such as type 2 diabetes, high blood pressure, sleep apnoea or painful knees. These details let the surgeon see quickly whether your case falls into the usual range.

General reasons for caution include serious uncontrolled heart or lung disease, active infections, untreated eating disorders, current pregnancy, and an unwillingness to follow the dietary rules after the operation. None of these automatically closes the door, but each must be discussed openly with the surgeon. Honest answers about your habits, including alcohol and smoking, make the plan safer and more realistic.

Sleeve gastrectomy or gastric bypass: questions to ask the surgeon

Both operations are performed with modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm, and cosmetic sutures are used, so after healing the marks are barely visible. The operation is done under general anaesthesia. Ask the surgeon why one method is recommended for you over the other, and how your own diseases, eating habits and weight history influenced that choice.

Useful questions for a patient from Juba: How will my diabetes medicines be adjusted? Which foods will I tolerate first, and how do I handle meals with family when the dishes are heavy, starchy or fried? What vitamins and minerals will I need, and for how long? What symptoms after discharge mean I should message the coordinator immediately? How is follow-up arranged when I am at home in Juba?

Also ask about the realistic course of weight loss. Results develop gradually, and the full effect is judged 18–24 months after surgery. Ask what you can influence yourself during that period, such as protein intake, fluids, walking and regular check-ups, and what depends on the operation itself.

Hospital stay, anaesthesia and the first days

The operation is performed under general anaesthesia, with 1–5 days in hospital. Doctors supervise you in hospital after surgery, and the stay depends on the complexity of the operation and how you are feeling. Some patients are under observation for 1–5 days, and the team decides on discharge only when you are stable, drinking, walking and comfortable.

For a family in Juba, planning matters in practical ways. Arrange who will look after children, who will manage the household and who will stay in contact with the coordinators during these days. Tell your employer or colleagues in advance that you will be absent. Decide beforehand which relative will be your contact person, so that information is not lost if you are tired after the procedure.

The whole programme is built as one package: from preparation to 12 months of support, all in one package, with no added fees. After discharge you stay connected with the coordinators, who are available 24/7, and follow-up support continues for 12 months. That continuity is especially valuable when you recover at home in Juba and need a quick answer to a simple question.

Heat, rain and dust: choosing the season in Juba

Juba has a tropical wet and dry climate and is hot all year, as it lies near the equator. Little rain falls from November to March, which is also the time of the hottest maximum temperatures, reaching 37.8 °C in February. From April to October more than 100 millimetres of rain fall per month, and the annual total is nearly 1,000 millimetres.

For recovery, this means two different challenges. In the dry, hot months the main concerns are dehydration, tiredness and dust. After bariatric surgery you drink in small, frequent sips, so keep water within reach, stay in shade, avoid heavy outdoor work in midday heat and wear light, loose cotton clothing that does not press on the abdomen. In the rainy months the issues are humidity, mud and heavy downpours that make moving around the city slow. Plan short, dry-ground walks and avoid situations where you must stand in crowded, wet places.

There is no single perfect month. Choose the period when you can rest at home, keep the cooling and hydration routine, and have calm days without large family obligations. Ask the surgeon whether your health condition favours an earlier or later date, and let the coordinator help build a timetable around your own commitments.

Work, study, sport and family events during recovery

Recovery time depends on the activity. Office work is possible after 2–4 weeks, and you can be back to work after 2–4 weeks if you have a desk job in an office, a school, a bank or an organisation. Physical work, such as lifting, building or long hours on your feet in the market, is considered after 1.5 months. Juba has a lively construction sector and many people work in trade, so this difference matters when you speak to your employer or customers.

Students at the university or other colleges in Juba can plan the procedure between study blocks and discuss with teachers how to catch up on lessons. Sport and activity are introduced step by step: swimming is allowed after 30 days, and other exercise is gradually added as weight goes down. Walking comes first; heavy training waits until the surgeon agrees. Teammates and training friends should know that your return will be gradual.

Weddings, funerals, church services and large family gatherings are important in Juba, and the table is often central. Do not plan the operation right before a major event. Afterwards you can attend, but you will eat small portions slowly, and your family should understand this in advance. Telling relatives early reduces pressure to take second helpings and makes the event easier for everyone.

From a small Bari village to a capital: what Juba's story means for a long-term health plan

Juba began in 1920-21 as a mission and the Nugent Memorial Intermediate School, set up by the Church Missionary Society in a small Bari village that was also called Juba. In the late 1920s the town was built as the capital of Mongalla Province, partly because of its river access on the Nile, and the Governor's office moved there in 1930. A city that grew from a school and a river landing is used to planning in stages, and bariatric surgery (sleeve gastrectomy or gastric bypass) is best approached the same way: preparation, operation, then months of follow-up.

Juba became the capital of South Sudan on 9 July 2011. Between 2006 and 2011 its population rose quickly, and many families came from different regions and kept their old ways of eating and living. For this reason, ask the dietitian to speak with your whole household, not only with you. A patient whose relatives cook in the old village style and one whose family has settled into a new routine will need different food plans after the operation.

Markets, banks and trade: arranging work around the operation

Greek merchants built much of the downtown Juba Market area in the 1920s and later, and trade is still a main source of income in the city. Many traders stand for long hours at a stall. That is physical work, so the 1.5 months before heavy tasks are allowed matter for you. Ask a relative or colleague to cover the stall, and do not return to lifting sacks or crates earlier than the surgeon permits.

Juba is also the headquarters city of banks such as Buffalo Commercial Bank, Ivory Bank and Nile Commercial Bank, and many people work in offices, organisations and hotels. For such desk work the figure is 2-4 weeks. Tell your manager the planned absence in advance, and keep a coordinator's call at a time that does not clash with meetings. Construction is also active in the city, and builders should plan for the longer physical-work period.

Study and sport in Juba: planning around the University of Juba and local teams

The University of Juba was founded in 1975, and the city also has Kampala International University, the Catholic University of South Sudan, the Episcopal University of South Sudan, Starford International University and Ayii University. A student can schedule the operation between study blocks and ask lecturers for notes in advance. The Juba Public Peace Library, opened on 1 October 2019 with over 13,000 books, is a quiet place to read and prepare questions for the surgeon before the consultation.

Basketball has a visible place in Juba's culture, and Mangok Mathiang, born in 1992, is one of the city's notable sportspeople. For anyone who plays basketball or football with friends, the rule is clear: swimming is allowed after 30 days, and other exercise is added gradually as weight goes down. Walking along the White Nile in the cooler hours is a gentle way to restart before you return to team games.

Juba's dishes after surgery: kisra, asida, bamia, malakwang and ugali

Juba's table is built on kisra, asida, ugali, bamia, malakwang and ful medames. These are filling, starchy or stew-based dishes, and the thick porridges are the hardest to portion after surgery. Ask the dietitian how to reintroduce them, how small a portion to take, and whether stews with okra, leafy greens or beans can be eaten first, with protein before starch.

Ful medames at breakfast and bamia with beef or goat give protein you can build on, while kisra and ugali are used to scoop up stew, so it is easy to eat too fast. Chew slowly, use a small plate and put the starch last. Malakwang is cooked with peanuts and butter, so ask whether to reduce the fat in your version at home.

Rainy season roads and hospital planning in Juba

The rainy season in the region lasts from March until October according to local road reports, and unpaved roads become muddy. If your recovery falls in those months, arrange transport for check-ups and medicine pickups in advance, and keep medicines and water at home so you do not need to go out in heavy rain.

Juba has the Juba Teaching Hospital, Al Sabah Children's Hospital and primary health centres such as Munuki and Gurei. For general matters like routine blood tests or a fever, your family should know where local care is. Tell the local team that you had bariatric surgery, and contact the coordinators, who are available 24/7, so that surgical questions go to the surgeon.

Food culture, daily habits and long-term follow-up

After sleeve gastrectomy or gastric bypass, the stomach holds much less, so what you choose to eat matters more than ever. In Juba, meals often include porridge, starchy staples, stews, fish from the Nile, grilled meat and sweet tea or soft drinks. These foods are not forbidden by nature, but the surgical team will advise on the order of reintroduction, portion size, protein first, limited sugar and careful chewing. Ask the dietitian to adapt the advice to the dishes your household actually cooks, not to an abstract menu.

Shopping and cooking habits change too. Think about how you will store prepared food in the heat, how you will keep safe drinking water and how you will carry small meals when you are at work or class. Plan protein sources that are easy to find locally and ask the coordinators what to do if some recommended products are hard to obtain.

Pregnancy deserves a special note. 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. Regular check-ups, blood tests and contact with the care team throughout the 12 months of support help you notice deficiencies and keep your habits on track.

Can I have the first consultation without leaving Juba?

Yes. The consultation is online and free. You write on WhatsApp or Telegram, and the coordinators respond around the clock, 24/7. A coordinator will call you back 24/7, at a time that suits you.

What BMI is usually needed for bariatric surgery?

Usually a BMI over 40, or over 35 with related health conditions. In some cases surgery is considered at lower values too, if non-surgical approaches have failed. The surgeon confirms at the consultation whether surgery suits you.

How do I calculate my BMI at home in Juba?

Divide your body weight in kilograms by your height in metres squared. Weigh yourself in the morning and measure your height carefully, then send both numbers to the coordinator with a list of your health conditions.

What anaesthesia is used and how long is the hospital stay?

The operation is done under general anaesthesia, with 1–5 days in hospital. The exact length depends on the method, the complexity of the operation and how you feel. Doctors supervise you in hospital after surgery.

Will I have large scars?

No large incisions are used. The operation is performed through 4 small punctures of 5 to 15 mm with modern laparoscopic technique. Cosmetic sutures are used, so after healing the marks are barely visible.

When can I return to work?

Office work is possible after 2–4 weeks. Physical work is considered after 1.5 months. Discuss your exact duties with the surgeon, especially if your job in Juba involves lifting or long hours in the heat.

When can I swim or exercise?

Swimming is allowed after 30 days. Other exercise is gradually added as weight goes down. Start with walking in the cooler parts of the day and ask the surgeon before increasing the load.

Is the hot climate of Juba a problem for recovery?

Heat is not a reason to avoid surgery, but it requires planning. Drink small sips often, stay in shade, wear loose light clothing and avoid heavy outdoor effort in midday heat, particularly in the dry months from November to March. In the rainy months from April to October, avoid wet, crowded places while you are weak.

What support do I get after the operation?

The programme runs from preparation to 12 months of support, all in one package, with no added fees. Follow-up support continues for 12 months, and the coordinators work 24/7, so you can ask questions from home in Juba.

When can I plan a pregnancy after the operation?

Pregnancy is possible after bariatric surgery, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize. Discuss contraception and timing with the surgeon before the operation.

Is it hard to find time for recovery if I work in the Juba market?

Market work involves standing and lifting, so physical work is considered after 1.5 months. Arrange cover for your stall with a relative or colleague and plan your return step by step with the surgeon.

Can I eat kisra, asida or ugali after the operation?

They are not banned by nature, but the dietitian will set the order and portion size. Start with protein, take small portions, chew slowly and put the starch last.

I am a student in Juba. When should I schedule the operation?

Choose a gap between study blocks. Office-type activity is possible after 2-4 weeks, so ask teachers in advance how to catch up on lessons and tell them your plan.

Who should I tell in Juba about my operation?

Tell your family, your employer and, for other medical matters, the local health centre or hospital you use. For anything related to the operation itself, message the coordinators, who work 24/7.