Bariatric Surgery in Kisumu with a Contract Guarantee

Experienced bariatric surgeons perform the bariatric operations at the clinic:

• Ruslan S. Menzulin — bariatric surgeon and surgical oncologist, 9 years of experience. 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.
• Andrey G. Ugay — lead bariatric surgeon, 27 years of experience. Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons.

Drop us a message and our coordinator will get back to you shortly to book your consultation. The bariatric surgeon consultation is free.

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Surgery is prescribed only when clear criteria are met

• The patient's body mass index (BMI)
• Overall health and any related chronic conditions
• Earlier attempts to lose weight by conventional means have failed

BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.

People often confuse these two, though their aims are fundamentally different. Bariatric surgery is medical treatment of obesity and associated diseases. It changes the way the digestive tract works, acting on the causes of excess weight and on metabolism. Plastic surgery alters outer body contours and does not treat obesity or affect metabolism.

There are four main types of bariatric surgery at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. BMI, related conditions and the patient's goals guide the individual choice of method.

Using modern laparoscopic technique, we perform the operation via 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, leaving marks that are nearly invisible after healing.

Recovery depends on what you do. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming is allowed after 30 days, other exercise is added gradually as weight drops. Travel and holidays: best planned no earlier than a month after surgery.

The diet shifts in stages — liquid, then soft, then solid food. Protein is the priority, while high-calorie, fatty food is limited.

Pregnancy is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.

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.

After bariatric surgery weight regain can happen, but it is very unlikely if the doctor's advice is followed. What matters is proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.