14,000 CMC patients already live in a new body. The outcome is set down in a formal contract: legally binding, not just promised.
Bariatric Surgery for Patients from Las Vegas
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Hidden fees? None. Surprises? None. One package, full route.
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 lasting result from diets 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 lasting result from diets and medication over several years.
Surgery is prescribed only when clear criteria are met
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
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 role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have 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.
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: this method is for a BMI of 35 to 45. Patients drop 60–70% of excess weight on average.
Specifics: the effect is less durable than with bypass procedures. Ignoring the diet, especially high-calorie drinks and liquid meals, may bring the weight back.

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: the operation counts as the “gold standard” for BMI above 45–50 with type 2 diabetes; 75–85% of excess weight is lost.
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)
A modified version of the classic bypass. Unlike the standard operation, just one connection (anastomosis) joins the small stomach and the small intestine. The technique is simpler, so it is easier on the patient and recovery takes less time.
Effectiveness: comparable to the classic Roux-en-Y bypass — patients lose up to 75–80% of excess weight.
Specifics: quicker surgery and a speedier recovery. The procedure is technically reversible; however, the single anastomosis creates a bile reflux risk.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combined method that brings together the advantages of sleeve gastrectomy and intestinal bypass. It is performed in two stages: first the stomach becomes a narrow tube, then the small intestine is rerouted so most of it no longer takes part in active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: the reduced stomach lowers appetite once the ghrelin-producing zone is removed, and routing food past a section of intestine limits how many calories are absorbed. Suitable 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
The first step is a surgeon's consultation covering medical history, method selection and recovery plan

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

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Final light meal in the evening; last drinks 3–4 hours before surgery.

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

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Final light meal in the evening; last drinks 3–4 hours before surgery.
Our experienced bariatric surgeons care about every patient's health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Studied at Mercy clinic under Vadim Gushchin and gave a talk at the World Congress of bariatric surgery in 2025. Co-author of international research published in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Performed the highest number of SASJ operations in the country. An expert council member of the national Society of Bariatric Surgeons who often presents at national and international congresses.
At City Medical Centre obesity is treated with a comprehensive approach. Once examined, each patient receives a personal lab and instrumental diagnostic program aimed at finding every disorder in the body.

A method matched to your goal
The surgical method is selected individually by our doctors for every patient. Your health, weight history and related conditions are reviewed first, so the most suitable surgical treatment can be offered.

Support that stays in touch
The City Medical Centre team is with you after surgery too. For the full first year, specialists track weight loss, keep an eye on your tests and answer every diet and recovery question.

Fast recovery
All bariatric operations at City Medical Centre are laparoscopic, which greatly speeds recovery. Most patients get up and move on the first day and return to normal life within a week.

Full diagnostics on site
No need to run between clinics. Our centre has everything for your work-up, from our own lab to ultrasound and gastroscopy. Preparation is quick, with no queues, all in one building.
Each patient recovers differently, but minimally invasive laparoscopic techniques keep rehabilitation as brief as possible.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's extent and 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
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each stage of weight loss.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's extent and 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
Depending on the physical demands of your job, you can return to work 7–14 days after surgery.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each 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?
The two are often mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies 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?
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 carries out four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The choice of method is individual, based on 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?
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.
Leave a request by the end of the month: a free consultation on any service
Service
Discounted price
All bariatric operations here are laparoscopic, performed through four small punctures of 5 to 15 mm with cosmetic sutures, so the marks become almost invisible after healing. This greatly shortens recovery. For those from Las Vegas, the choice between sleeve, classic bypass, mini bypass and SADI-S depends on BMI, related diseases and the result you want to reach.
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 Las Vegas.
If you are comparing bariatric surgery options in Las Vegas, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Apply before the end of the year and get a consultation at the clinic's expense!