14,000 CMC patients already live in a different body. The result is stated in an official contract — in law, not just in talk.
Surgical Treatment of Obesity in Kampala
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.
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
No durable effect from dieting and medication over 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 durable effect from dieting and medication over several years.
Surgery is prescribed only when clear criteria are met
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). 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.
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 main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). 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.
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.
Chronic illness? Please talk to a doctor at the clinic first!
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
During the procedure the surgeon removes the greater part of the stomach, forming a narrow tube. Portions get far smaller and ghrelin, the hunger hormone, decreases, so the patient is satisfied faster and eats less.
Effectiveness: the method is used for a BMI of 35 to 45; average loss is 60–70% of excess weight.
Specifics: results are less lasting than with bypass surgery. Weight can return if the diet is not kept, especially with high-calorie drinks and liquid foods.

Roux-en-Y gastric bypass
At the top of the stomach the surgeon makes a small 50–70 ml pouch, linking it directly to the small intestine. Intake of food is restricted and calorie absorption falls, since food passes through less of the gut.
Effectiveness: the “gold standard” for patients with a BMI over 45–50 and type 2 diabetes. Up to 75–85% of excess weight is lost.
Specifics: compared with other bariatric methods, the result is more stable. Conditions like diabetes and hypertension commonly go into remission. The altered digestive anatomy requires lifelong vitamin and mineral supplements.

Mini gastric bypass (MGB)
This operation is an improvement on the classic bypass. Compared with the standard technique, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. Its simplicity makes it easier for the patient, with less recovery time.
Effectiveness: comparable with the classic Roux-en-Y bypass: patients drop 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)
As a modern combined technique, SADI-S brings together the benefits of sleeve gastrectomy and intestinal bypass. Its two stages: making the stomach into a narrow tube, then rerouting the small intestine so the majority of it is excluded from active digestion.
Effectiveness: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
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
A surgeon's consultation comes first — reviewing medical history, picking a method, planning recovery

Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.

Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
From a month before: no smoking, less physical activity, no stress.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.
Bariatric surgeons with deep experience and real care for patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Mercy clinic training under Vadim Gushchin; speaker at the World Congress of bariatric surgery (2025). Among the co-authors of an international study in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Leads the country in SASJ operations performed. Expert council member at the national Society of Bariatric Surgeons, speaking regularly at national and international congresses.
City Medical Centre treats obesity comprehensively. Following the first examination, every patient receives a personal diagnostic program (lab and instrumental) to detect every disorder 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
You are not left alone after surgery — the City Medical Centre team stays with you. Across the first year, specialists follow your weight loss, monitor tests and answer all diet and recovery questions.

Fast recovery
At City Medical Centre, bariatric operations are laparoscopic, which significantly shortens recovery. Most patients are up and active on day one and return to normal 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.
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
Soon after surgery — within the first hours — you may sit up, stand and take fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
A return to work is possible 7–14 days after surgery, based on how physical your job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A step-by-step diet lasts 1–2 months, from liquids to solids, giving the stomach time to adapt.

Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
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! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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
Soon after surgery — within the first hours — you may sit up, stand and take fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
A return to work is possible 7–14 days after surgery, based on how physical your job is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
A step-by-step diet lasts 1–2 months, from liquids to solids, giving the stomach time to adapt.

Pace
Average monthly loss is 10% of excess weight for patients following the specialists' advice.
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! 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?
Many people confuse the two, but their goals are fundamentally different. Bariatric surgery is a medical treatment for obesity and related diseases. It changes how the digestive tract works, addressing the causes of excess weight and metabolism. Plastic surgery reshapes the body's outer contours; it does not treat obesity or affect metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
We rely on modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm. Cosmetic sutures are used, so after healing the marks are barely visible.
What diet do I need to follow?
Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.
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?
Pregnancy after bariatric surgery can happen, though doctors advise holding off at least 12–18 months. In this period the body becomes stable, weight reaches target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes — vitamins are required after bariatric surgery. With the digestive anatomy changed, some nutrients are absorbed less well, and regular vitamin and mineral supplements become a permanent part of life.
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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Why do diets fail? The body fights back: metabolism slows, appetite grows, and lost kilos return. When diet changes and medication cannot fundamentally improve the situation, surgery becomes the effective way out. Kampala residents who have tried diets, fasting and pills for years without a lasting result are exactly the patients for whom bariatric operations are intended.
Preparation is practical. Two to four weeks before surgery, cut fast carbohydrates and fats; a month before, quit smoking, reduce physical activity and avoid stress. The day before, switch to light meals, with the last light meal in the evening and last fluids 3–4 hours before the operation. The same plan applies to everyone preparing for bariatric surgery in Kampala.
Starting is simple. Leave your name and phone number or write in any messenger, and a coordinator will arrange a free consultation. In about 15 minutes the surgeon will say whether bariatric surgery is right for you and which method fits. For people from Kampala, this conversation is the fastest way to replace temporary fixes with a lasting solution.
Well-known people who spoke openly about this operation, in their own words.
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Apply before the end of the year and get a consultation at the clinic's expense!