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Bariatric surgery

Surgical Treatment of Obesity in Khoms

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 guided and supported
throughout. Your surgery and recovery plan is reviewed at no charge — prior to deciding.

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Free online consultation · Reply within 15 minutes

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Results

Weight loss our patients achieved

Only real clinic patients appear here.

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

We perform two main operations: sleeve gastrectomy and gastric bypass. Compare how they work, what they are for and when they are indicated to choose your method with confidence.

Sleeve gastrectomy

Less 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
Stay and anaesthesia
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
Stay and anaesthesia
General anaesthesia, hospital stay of 1–3 to 4–5 days

We show average benefits and recovery times for each method as a guide only: the extent of the operation and recovery are individual, set by your anatomy and features, and confirmed by the surgeon at the consultation.

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About the clinic

A place where patients feel at ease

Comfortable rooms, modern equipment and care for each person

A doctor and a patient in a clinic ward

Write or call us the way you prefer

Ask us anything, and we will arrange a consultation at a time that suits you

Get a consultation

Bariatric surgery does not suit everyone

After a consultation and check-up, the surgeon and you make the decision on surgery together.

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

Not sure which group you fall into?

Text us on Telegram — our coordinator will let you know if bariatric surgery is the right choice for you. The surgeon consultation is free, with no obligation to go ahead with surgery.

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

Prices

You know the price
before surgery

The cost is named at the consultation once your plan is ready, and it is fixed in the contract.

Discounted price

Sleeve gastrectomy

Less stomach volume

Surgeons during a sleeve gastrectomy

$3,600$4,800

Lock in the price

Discounted price

Gastric bypass

Rerouting food and losing weight

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 the operation is named
and recorded in the contract

Book a consultation

Find out your method and the cost of surgery

The doctor reviews your health and goals and decides on the right bariatric surgery method. At the consultation the cost is named, and the contract fixes it.

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

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A bariatric surgeon discusses a treatment plan with a patient

price

What the $3,600 (≈ LYD 23,500) price includes

One package — from preparation to 12 months of support. No extra charges.From preparation for surgery
to support for 12 months.

  • 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
  • A coordinator assigned to you from day one
  • Remote progress check by photos

$3,600$4,800

Discounted price

Lock in the price

What to expect

Treatment at the clinic —
from check-in to discharge

Support for a year, hospital monitoring and a treatment plan agreed in advance.

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

Consultation and a treatment plan

The doctor checks your health, goes over your goals and arranges the tests needed to choose a suitable bariatric surgery method.

Booking the surgery date2

Reserving your surgery date

The contract for medical services fixes the terms; we reserve a surgery date for you, and the deposit can be paid by card at the clinic or by bank transfer online

A blood sample tube for tests before bariatric surgery3

Tests to prepare for surgery

At the consultation the doctor gives you the exact list of pre-surgery checks: blood and urine tests, an ECG, an ultrasound, a gastroscopy and visits to specialists.

Surgeons performing a bariatric operation4

Surgery

The surgeon carries out the chosen bariatric method under general anaesthesia. After the operation the patient is monitored by the medical team.

A hospital ward at the clinic5

Inpatient stay

Your hospital stay after surgery lasts from 1–3 to 4–5 days under doctors' supervision; the length depends on how complex the operation was and how you feel.

A doctor and a patient in the ward during recovery6

Recovery

On discharge you receive diet and recovery advice. Scheduled check-ups monitor how you feel, your weight and your test results, and the clinic team supports you for a year.

The doctor puts together a plan at the consultation and explains the course of surgery

A surgeon shows a patient the result forecast on a tablet

The consultation is free, before surgery and with no obligation.

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

Doctors

Experienced surgeons you can trust

Bariatric surgeon Andrey G. Ugay

Andrey G. Ugay

View profile

27 years of experience

Chief 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

One surgeon operates and follows you all the way, from the first consultation to the result.

First you meet our patient care manager: they calculate your BMI, go over the methods and arrange your surgeon appointment. Free of charge.

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Coordinators

Clinic coordinators

We are with you at each stage

Your personal coordinator

First contact at the clinic for you — from your first message through to the consultation

Patient support

Helps you find a convenient date and answers your questions before your first consultation

  • 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 you prepare for surgery and stays in touch during your stay at the clinic

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

By your side from discharge to your final check-up during recovery

Patient support

Stays in touch during your recovery and schedules follow-up visits with the surgeon

  • Answers questions during recovery
  • Books follow-up visits

Advantages

Reasons patients choose City Medical Centre

A surgeon consults a patient in the clinic

An approach shaped around you at every stage

We choose the optimal method for your health, lifestyle and goals, with our team beside you all the way.

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

Long-term
care after surgery

We help you adjust to new eating habits, follow your results and maintain them.

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

Your schedule matters most to us

Your time matters to us: we work 24/7, booking is simple and we take a personal approach at your pace.

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

Fixed prices

After the consultation the surgeon chooses the method and you get a clear price — no hidden fees and no surprises on the way to your result.

Prices

Bariatric surgery: price list

A free consultation for any service if you apply before the end of the month

  • Bariatric consultation with the surgeon

    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 what people ask
before booking

Bariatric Surgery in Khoms: price and what is included

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

How much does bariatric surgery in Khoms cost?

Prices start from $3,600 (≈ LYD 23,500). 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.

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Everything about bariatric surgery for Khoms patients

SADI-S combines a sleeve with intestinal bypass in two stages and is one of the most powerful bariatric operations, with 80–90% excess weight loss and a long-lasting result. It suits super obesity with a BMI over 50, severe type 2 diabetes, or a second stage after an ineffective sleeve. Anyone in Khoms in these situations can discuss it at a consultation.

It begins with a surgeon's consultation: medical history, choice of method and a recovery plan. Patients from Khoms then complete a work-up — blood and urine tests, biochemistry, HbA1c, coagulation, chest X-ray, ECG, abdominal and kidney ultrasound, leg vein Doppler and a required gastroscopy — plus consultations with a GP, endocrinologist, psychiatrist, cardiologist and, for women, a gynecologist.

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 Khoms, the first consultation with the surgeon is free and takes about 15 minutes.

Stories of well-known people

Well-known people who spoke openly about this operation, in their own words.

All stories about this operation →

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

Weight-loss surgery and Al-Khums: your health record comes first

Al-Khums has 390,943 residents on the 2018 count, and among them are people who have dieted again and again only to watch the weight return, and some now wonder about bariatric surgery without knowing where to start. The start is not a particular operation. It is a complete health record that you write yourself: current height and weight, your highest and lowest weights over recent years, and each diet or medicine you tried and what came of it. That record is what the surgeon builds his view on.

Be frank about other conditions, because diabetes, blood pressure, sleep apnoea, joint problems, and heart or liver disease all change the choice and the preparation. Send your list of medicines and the names of recent tests, with the results if you have them. Mention earlier abdominal operations and any family history of obesity; plain information here protects you from surprises in the first days. If asked, add a full-body photograph from the front and side in light clothing, since distribution matters to a surgeon as much as the number.

Write also about the shape of your day: how many meals, whether you eat late at night, whether you drink sweetened drinks, how much you walk. There is no reason to polish the picture, because anyone who wants surgery to succeed needs a team that knows the truth. In a town living from the port, fishing and olives, food is part of social life, so the team asks about your habits before suggesting anything. The result after surgery depends on changing those habits as much as on the operation.

The first reply is a provisional estimate: whether your situation suits a bariatric procedure, which options deserve study, and which tests are missing. The exchange runs on Telegram or Telegram, where coordinators are present around the clock, so you can read the answer with your family in the evening and add what you forgot. It all happens from home in Al-Khums, with no obligation, because this surgery is a life decision and not just an appointment, and it deserves calm study.

First hours, observation days: what follows the procedure

The first stage begins within hours of surgery: you may sit up, stand and drink fluids. The line sounds simple yet it carries weight, because early movement is part of prevention and fluids are the first lesson in teaching the stomach its new routine. Ask the team before the day about quantities and timing, and do not take more than allowed. A new stomach needs patience and learning, not tests of its limits.

Time under observation at the clinic runs from one to five days, depending on the extent of the operation and on any related conditions. Someone with well-controlled diabetes or blood pressure and a straightforward case goes home on the short side, while a patient with conditions needing monitoring stays longer. A longer stay is not a bad sign; it is a precaution working for you. Pack loose clothes, your usual medicines and a list of their names and doses, which the team needs in order to adjust what is necessary.

Choose a companion who stays with you and hears the discharge instructions, which are many and cover drinking, medicines, movement and warning signs. Ask this person to write them down and keep a copy on a phone, and to know how to reach the team at night. Before coming home, prepare the kitchen: put away foods that are not allowed, keep fluids and medicines within easy reach, and tell the household about your new routine so your first days are not spent facing a meal you cannot eat.

At home the first days bring their own questions. How do I drink enough without straining the stomach? When do I walk and how far? Which signs mean an immediate call? Write the questions and answers on one sheet and tape it near the refrigerator. Do not hesitate to message the team at any doubt, because a question asked in time beats correcting a mistake afterwards, and a matter that looked small to you may be a sign worth following.

A staged diet, from liquids to solids, at the tables of Al-Khums

After surgery the diet moves in stages from liquids towards solids over one to two months, so that the stomach can adapt. This is not a diet you take up and drop; it is part of the operation, because the stomach is small afterwards and will not be rushed. Ask the team for a written schedule showing what each stage permits in type and quantity, and pin it up in the kitchen where the household sees it. Family discipline lightens the load on you considerably.

Olive oil and fresh fish landed by the port's fishermen are familiar on local tables, and both can sit well in a balanced diet, but each stage after surgery has its limits. Ask the team when fish is allowed and how it should be cooked, how to use oil without overdoing it, and what to do at large family meals where heavy dishes are served. A written answer to each question beats trying to recall advice you heard from a relative.

Weddings, family occasions and hospitality tables will come, and sitting among them without touching heavy food takes practice. Prepare a friendly sentence for your host, a light portion of what the team allows eaten before you leave, and water always at your side. People who know you will understand, and for the rest a short explanation is enough. Declining a dish is not rude, since health comes before courtesy, and a family that supports you turns a hard evening into proof of your routine.

In summer August averages 32.0 degrees by day and 22.9 at night in Al-Khums, and July 31.7 and 22.3. Heat dulls appetite for some people and increases thirst, so keep drinking steadily in the way the team set out, in small, frequent amounts. In winter, with January averaging 17.9 by day and 9.3 at night, people lean towards heavy warm food, so make a light permitted soup your substitute. Note down what you eat each day; a diary shows patterns your memory misses.

Back to work, then the scale month by month

You can return to office work two to four weeks after surgery, while physical work needs about a month and a half. A port administration clerk goes back before a cement worker, a fisherman or a man hauling crates on the quay, and you should not compare your date with another person's. Ask your surgeon for your own, write it down, and agree a gradual return with your employer where possible. The Libyan weekend is Friday and Saturday, so start leave just before it and gain two more days of rest.

On average patients lose around ten percent of their excess weight every month. That is an average and not a promise: some are faster, some slower, and what matters is a curve that trends downward. Weigh yourself at the same time on the same scale and record the number, but do not let the scale rule your mood, for weight can pause for a week and then drop. Measure your waist and thighs monthly too; those figures sometimes show progress that the scale hides.

Activity grows with your weight loss: short walks indoors in the first days, longer ones around the neighbourhood, then an outing near the beaches of Barku and Tuwaybiyah at dawn or late afternoon when the heat eases. Race nobody and do not measure yourself against a friend; ask the team when harder exercise may begin. Someone who walks a little every day beats the one who rushes for a week and stops, because regularity matters more than intensity at this stage.

The final result takes shape between a year and a half and two years, and in that time the eating habits that prevent weight returning become settled. So do not judge the whole path by the first two months. Your strongest allies are regular follow-up with the team, monthly photographs in the same pose and light, and a daily diary of food, water and walking. If after eighteen months you have kept the routine, you have built habits that last, which is the most valuable thing this surgery gives anyone who uses it well.

Judging the team, not the name on the brochure

The modern city of Al-Khums goes back about four centuries, yet the site is much older, founded by the Phoenicians some three thousand years ago, and Leptis Magna flourished under Septimius Severus between 193 and 211. What lasts for centuries is built on a plan, so ask each provider for a written one stating the proposed procedure and the medical reason for it in your case, the length of stay, the staged diet and the follow-up arrangements.

A bariatric team is not a surgeon alone. There is a dietitian who guides the stages, an anaesthetist, someone who monitors related conditions, and someone who answers your questions after discharge. Ask who makes up the team, who follows you weekly in the first month, and who replies at night. The operation takes some hours while the follow-up lasts two years, and a provider that explains the first but blurs the second has not completed its service.

The surgeon's papers are checked before trust: his full name, his exact specialty in bariatric surgery, documented experience in the operation he proposes, a licence number you can verify, and dated results from patients a year or more after surgery, not weeks. Ask also about cases that did not go as hoped and how they were handled. A surgeon who talks about his limits deserves more trust than one who describes success without exceptions.

The Severan Basilica still stands with its quays and its square because its foundation is sound. Your decision requires the same footing: documented information, a written plan, a surgeon who explains the limits of your case honestly, and time to think at home in Al-Khums with your family. If the plan suits your body and your way of life, go ahead calmly. If it does not, keep looking, for a decision taken slowly holds up better than one dictated by embarrassment or haste.

I live in Al-Khums. How do I begin a weight-loss surgery assessment from home?

Write your height, current weight, highest and lowest weights, the diets you have tried, your other conditions, medicines and recent tests, and add a full-body photograph if asked. The surgeon reads the file and replies with a first estimate of whether your case suits the surgery and which options deserve study, from home and with no appointment.

How long am I under observation after the operation?

From one to five days, depending on the extent of the surgery and related conditions. In the first hours you may sit, stand and drink fluids. A longer stay is a precaution in your favour, so pack your medicines list and bring a companion who hears the discharge instructions with you.

How does my diet progress after surgery?

In stages from liquids to solids over one to two months, so the stomach adapts. Ask the team for a written schedule showing what each stage allows, pin it in the kitchen, and do not rely on advice from relatives or neighbours, since each case has its own plan.

When can I return to work?

Office work after two to four weeks and physical work after about a month and a half. Your personal date comes from the surgeon according to your job, so write it down. With a Friday and Saturday weekend, start your leave just before it to gain two more days.

How much weight should I expect to lose monthly?

On average about ten percent of the excess weight each month, which is an average and not a promise; some lose faster, some slower. Weigh at the same time on the same scale, measure your waist monthly, and do not let a flat week discourage you.

When does the final result appear?

After a year and a half to two years, when the eating habits that stop weight returning have settled. So do not judge the whole path by the first two months. Keep your follow-up appointments and note daily what you eat, drink and walk.

How should I handle weddings and family feasts?

Eat a light portion of what the team allows before leaving, carry water, and tell your host kindly that you follow a health routine. Do not decline a dish with embarrassment; people close to you will understand and health comes before courtesy. Ask the team beforehand what you may taste.

When do I message the team urgently?

If there is severe abdominal or chest pain, fever, vomiting that will not stop, inability to drink fluids, breathlessness, or redness and swelling near a wound. Do not wait for morning. The Telegram or Telegram line is open at any hour; attach an exact description and the time the sign started.

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