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Weight Loss Surgery in Lagos: Sleeve, Bypass, SADI-S
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden fees. No surprises. One package — the full 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
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Key factors
The role of body mass index (BMI)
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Please consult a clinic doctor if you have chronic conditions!
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 surgery the surgeon removes most of the stomach, turning it into a narrow tube. This greatly reduces portion size and lowers ghrelin, the hunger hormone, so the patient feels full much faster and eats less.
Effectiveness: suitable for a BMI of 35 to 45. Patients lose 60–70% of their excess weight on average.
Specifics: less durable results than bypass operations. Without sticking to the diet, especially avoiding high-calorie drinks and liquid food, the weight may return.

Roux-en-Y gastric bypass
Using the top of the stomach, the surgeon creates a small 50–70 ml pouch joined directly to the small intestine. This limits intake and reduces the calories absorbed by cutting short the journey of food through the gut.
Effectiveness: regarded as the “gold standard” for a BMI over 45–50 with type 2 diabetes. Loss of excess weight reaches 75–85%.
Specifics: outcomes are more durable than with other bariatric procedures. Diabetes, hypertension and other related conditions often go into remission. With the digestive anatomy changed, lifelong vitamin and mineral supplements are a must.

Mini gastric bypass (MGB)
This is a refined form of the classic bypass. Unlike the standard technique, the surgeon makes just one connection (anastomosis) between the small stomach and the small intestine. The simpler approach is gentler on the patient and requires less recovery time.
Effectiveness: in line with the classic Roux-en-Y bypass — loss of 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)
SADI-S combines the advantages of sleeve gastrectomy and intestinal bypass in one modern technique. It is done in two stages: stage one makes the stomach a narrow tube; stage two reroutes the small intestine so that most of it is excluded from active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: a smaller stomach curbs appetite because the ghrelin-producing zone is removed, and sending food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or a second stage after a sleeve that did not work.
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
Step one is a consultation with the surgeon: your history, the right method and a recovery plan

Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

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
A light meal in the evening is the last; fluids stop 3–4 hours prior.

Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.

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
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Skilled bariatric surgeons who genuinely care about patient health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained with Vadim Gushchin at Mercy clinic, and presented at the 2025 World Congress of bariatric surgery. Co-author of an international paper published 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 takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.

A method matched to your goal
Our doctors tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.

Support that stays in touch
Once the operation is done, the City Medical Centre team stays alongside you. Throughout the first year specialists follow your weight loss, review tests and answer all questions on diet and recovery.

Fast recovery
City Medical Centre performs bariatric operations laparoscopically, which shortens recovery considerably. Most patients are on their feet on day one and back to 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.
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.

Duration
The patient is kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
The final result is seen after 1.5–2 years. In that time the patient builds stable eating habits that keep the weight from returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.

Duration
The patient is kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.

Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
The final result is seen after 1.5–2 years. In that time the patient builds stable eating habits that keep the weight from returning.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at 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
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?
Modern laparoscopic technique allows the operation through 4 small punctures of 5 to 15 mm. Cosmetic sutures make the marks almost invisible when fully healed.
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?
At City Medical Centre there are four main types of bariatric surgery — sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Every method is chosen individually from BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
It is possible to get pregnant after bariatric surgery, but doctors recommend a minimum wait of 12–18 months. During it the body stabilizes, weight reaches its target and nutritional status is normalized.
Do I need to take vitamins after surgery?
Yes, after bariatric surgery vitamins are a must. The altered digestive anatomy reduces absorption of some nutrients, which makes regular vitamin and mineral supplements a permanent part of the patient's life.
Can the weight come back?
Weight regain is possible after bariatric surgery but very unlikely provided you follow the doctor's advice. Eat properly, avoid high-calorie drinks and keep up regular follow-up with City Medical Centre specialists.
Submit an application before the month ends — free consultation on any service
Service
Discounted price
The decision rests on clear criteria: body mass index, overall health with related chronic conditions, and failed previous attempts at weight loss. BMI is weight in kilograms divided by height in metres squared. Contraindications include acute illness, severe chronic or mental illness, and less than six months since breastfeeding ended. Lagos patients receive a personal assessment against these points.
Recovery is short thanks to the minimally invasive technique, and absorbable sutures dissolve on their own. Office work is usually resumed after 2–4 weeks and physical work after about 1.5 months; swimming is allowed after 30 days, with other exercise added gradually. For the first weeks, no sauna or intense training. Lagos residents get the same step-by-step guidance from the team.
Everything needed for the result is combined in one package, with no hidden fees and no surprises. For patients from Lagos, it includes surgery by a dedicated team, round-the-clock care in the ward with meals and nursing, a doctor nearby 24/7 and a personal coordinator. The first step is a free 15-minute consultation with a bariatric surgeon.
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Apply before the end of the year and get a consultation at the clinic's expense!