guarantee
Surgical Treatment of Obesity in Kalyān
for good —
14,000 CMC patients already live in a new body. The result is set in an official contract — legally, not just in words.
patients
experience
from excess weight
rating
Surgical Treatment of Obesity in Kalyān
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
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.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- No success with earlier tries to slim down by usual means
Why don't diets and exercise work for everyone?
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- No success with earlier tries to slim down by usual means
The role of body mass index (BMI)
BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.
Why don't diets and exercise work for everyone?
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
Medical indications
for bariatric surgery
If chronic conditions apply to you, please consult a clinic doctor!
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
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: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: the result is less durable than with bypass operations. If the diet is not followed, especially with high-calorie drinks and liquid food, the weight can return.
Roux-en-Y gastric bypass
The surgeon builds a 50–70 ml pouch in the upper part of the stomach and attaches it directly to the small intestine. This caps food intake and lowers calorie absorption by shortening food's route through the gut.
Effectiveness: with a BMI over 45–50 and type 2 diabetes, this is the “gold standard”. Excess weight loss is as high as 75–85%.
Specifics: more lasting results than other bariatric methods. Associated conditions such as diabetes and hypertension often go into remission. Because digestion is anatomically altered, vitamins and minerals must be taken for life.
Mini gastric bypass (MGB)
An upgraded take on the classic bypass. In contrast to the standard method, only a single connection (anastomosis) is made between the small stomach and the small intestine. Being simpler, the technique is easier on the patient and shortens recovery.
Effectiveness: like the classic Roux-en-Y bypass, it helps patients lose up to 75–80% of excess weight.
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)
The modern combined technique SADI-S unites the benefits of sleeve gastrectomy and intestinal bypass. It proceeds in two stages: the surgeon first turns the stomach into a narrow tube, then reroutes the small intestine so that most of it is kept out of active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
Specifics: removing the ghrelin-producing zone makes the stomach smaller and lowers appetite, while rerouting food around part of the intestine restricts calorie absorption. Indicated 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
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist 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 before, quit smoking, reduce physical activity and avoid stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist 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 before, quit smoking, reduce physical activity and avoid stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons devoted to their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained at Mercy clinic, mentored by Vadim Gushchin, and spoke at the World Congress of bariatric surgery in 2025. A co-author of an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has done more SASJ operations than anyone else in the country. Sits on the expert council of the national Society of Bariatric Surgeons and regularly speaks at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
The approach to obesity at City Medical Centre is comprehensive. Following an initial examination, a personal diagnostic program — lab and instrumental — is drawn up for each patient to detect 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
The City Medical Centre team keeps supporting you after the operation. All through the first year, specialists track how your weight drops, check your tests and handle every question 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
Running around different clinics is not necessary. Our centre has all you need for your work-up, from our lab to ultrasound and gastroscopy. Preparation is fast and queue-free, in one building.
Recovery after bariatric surgery
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.
Duration
Observation at the clinic lasts 1 to 5 days, based on how extensive the surgery is and on related conditions.
Activity
In the first hours post-op, sitting up, standing and drinking fluids are fine.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Specialists at City Medical Centre supervise recovery, providing medical and psychological support across every stage of weight loss.
Duration
Observation at the clinic lasts 1 to 5 days, based on how extensive the surgery is and on related conditions.
Activity
In the first hours post-op, sitting up, standing and drinking fluids are fine.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
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
Frequently asked questions
about bariatric surgery at CMC
Bariatric vs plastic surgery: what's the difference?
Many confuse the two, yet their purposes are fundamentally different. Bariatric surgery is medicine's treatment for obesity and related diseases: it changes how the digestive tract operates and addresses the causes of excess weight and metabolism. Plastic surgery reshapes outer contours of the body without treating obesity or affecting 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?
Stage by stage, you move from liquid food to soft and then solid. Priority goes to protein, and high-calorie, fatty food is limited.
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?
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 after bariatric surgery are a must. Because the digestive anatomy changes, the body absorbs some nutrients less well, so regular vitamin and mineral supplements become a permanent part of the patient's life.
Can the weight come back?
It is possible to regain weight after bariatric surgery, but very unlikely if you follow your doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are essential.
Prices
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Service
Discounted price
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Other services at our clinic
Choosing a bariatric method in Kalyān
Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Kalyān 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.
The work-up is done in one building with its own lab, ultrasound and gastroscopy, so preparation is quick and without queues. After laparoscopic surgery, the patient stays under observation for 1 to 5 days depending on the extent of the operation. Within the first hours you may sit up, stand and drink. Most Kalyān patients are up and moving on day one.
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. Kalyān 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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