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 in Leeds: Methods and Results
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No concealed charges or surprises. The whole journey, one package.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Both a high BMI and associated conditions can make a surgical consultation worthwhile
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 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.
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
Key factors
The role of body mass index (BMI)
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.
Why don't diets and exercise work for everyone?
It is common to try various diets and exercise for years while the body resists — slower metabolism, stronger appetite, returning weight. When it becomes evident that diet changes and medication by themselves cannot fundamentally help, bariatric surgery becomes the only effective solution.
Have chronic conditions? Please consult one of the clinic's doctors!
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: the method suits a BMI of 35 to 45. On average patients lose 60–70% of their excess weight.
Specifics: durability is lower than with bypass operations. If the diet slips, especially with high-calorie drinks and liquid food, lost weight may come back.

Roux-en-Y gastric bypass
A small upper-stomach pouch of 50–70 ml is made and connected straight to the small intestine. It restricts how much food is eaten and reduces calorie uptake, as food follows a shorter path through the intestine.
Effectiveness: viewed as the “gold standard” for BMI over 45–50 plus type 2 diabetes. It removes 75–85% of excess weight.
Specifics: the effect lasts longer than with other bariatric methods. Related diseases, including diabetes and hypertension, often reach remission. As digestive anatomy changes, supplements of vitamins and minerals are needed for life.

Mini gastric bypass (MGB)
The classic bypass, improved. Unlike the standard method, the surgeon forms just one connection (anastomosis) between the small stomach and the small intestine. A simpler technique puts less strain on the patient and cuts the time needed to recover.
Effectiveness: similar to the classic Roux-en-Y bypass; up to 75–80% of excess weight is lost.
Specifics: shorter surgery and faster recovery. The procedure is technically reversible, but there is a risk of bile reflux due to the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a contemporary combined technique uniting what is best in sleeve gastrectomy and intestinal bypass. Two stages are involved: first a narrow tube is formed from the stomach, then the small intestine is rerouted, leaving most of it outside active digestion.
Effectiveness: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result 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.
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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
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.

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

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking, cut physical activity and avoid stress starting a month before.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Skilled bariatric surgeons who genuinely care about patient health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Underwent training at Mercy clinic under Vadim Gushchin; spoke at the World Congress of bariatric surgery (2025). Co-authored international research published in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Has carried out the largest number of SASJ operations in the country. Serves on the expert council of the national Society of Bariatric Surgeons and presents regularly 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
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
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
Bariatric operations at City Medical Centre use laparoscopy, which greatly cuts recovery time. Most patients move around on day one and get back to normal life within a week.

Full diagnostics on site
Forget going between clinics. Everything for your work-up is here, including our own lab, ultrasound and gastroscopy. Preparation is quick and queue-free, all in a single building.
Recovery is very much individual, though minimally invasive laparoscopic techniques keep the rehabilitation phase as short 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
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.

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

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! City Medical Centre specialists keep recovery under supervision and give psychological and medical support at every stage of losing weight.
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?
These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
We use modern laparoscopic technique. The operation is done through 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, so once healed the marks become almost invisible.
What diet do I need to follow?
In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting high-calorie, fatty food.
What types of bariatric surgery are there?
The four main types of bariatric surgery at City Medical Centre are sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is matched individually to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
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.
Do I need to take vitamins after surgery?
Yes, taking vitamins after bariatric surgery is mandatory. Because digestion is anatomically altered, the body absorbs some nutrients poorly, so regular vitamin and mineral supplements stay in the patient's life permanently.
Can the weight come back?
Weight regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
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Service
Discounted price
Sleeve gastrectomy turns most of the stomach into a narrow tube, reducing portion size and levels of ghrelin, the hunger hormone. It suits a BMI of 35 to 45, with patients losing on average 60–70% of excess weight. For anyone from Leeds with a higher BMI or type 2 diabetes, a bypass may fit better; the surgeon compares options at the consultation.
Step one: consultation. Step two: laboratory and instrumental tests, gastroscopy and specialist reviews. Step three: surgery through small punctures by a permanent team, not a duty shift. Step four: 1–5 days in the ward with meals and nursing. Step five: a staged diet and a year of follow-up. People in Leeds follow this route from start to finish.
If you are comparing bariatric surgery options in Leeds, 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.
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