guarantee
Surgical Treatment of Obesity in Leipzig
for good —
14,000 CMC patients already live in a new body. An official contract sets out the result with legal force, not as mere words.
patients
experience
from excess weight
rating
Surgical Treatment of Obesity in Leipzig
for good —
Everything for the result — included
Bariatric surgery —
is it right for me?
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Everything needed for the result —
already included
No fees hidden away. No shocks. One package for the whole path.
Bariatric surgery —
is it right for me?
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Reasons to see a surgeon
You may need a surgical consultation because of related conditions, not only high BMI
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Years of diets and medication without any lasting result.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Years of diets and medication without any lasting result.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Earlier attempts to lose weight by conventional means have failed
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Earlier attempts to lose weight by conventional means have failed
The role of body mass index (BMI)
BMI is the main tool for assessing the degree of obesity. It is calculated by dividing body weight (kg) by height squared (m²). Surgery is usually justified with a BMI above 40, or above 35 with serious related conditions. In some cases surgery is considered at lower values too — if non-surgical approaches have failed.
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.
Medical indications
for bariatric surgery
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
Bariatric surgery methods at City Medical Centre
Sleeve gastrectomy
The operation involves removing most of the stomach and turning it into a narrow tube. As a result portions shrink a lot and the hunger hormone ghrelin falls, so the patient reaches fullness sooner and eats less.
Effectiveness: the method suits a BMI of 35 to 45. On average patients lose 60–70% of their excess weight.
Specifics: the result holds up less well than after bypass operations. If the diet is broken, particularly with high-calorie drinks and liquid food, weight may come back.
Roux-en-Y gastric bypass
The surgeon forms a small 50–70 ml pouch at the top of the stomach and joins it straight to the small intestine. This restricts food intake and cuts calorie absorption by shortening the route food takes through the gut.
Effectiveness: considered the “gold standard” when BMI exceeds 45–50 with type 2 diabetes. Patients lose 75–85% of excess weight.
Specifics: results last better than after other bariatric methods. Related conditions — diabetes, hypertension — often go into remission. The digestive anatomy is changed, so vitamin and mineral supplements are needed throughout 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: like the classic Roux-en-Y bypass, it helps patients lose up to 75–80% of excess weight.
Specifics: surgery takes less time and recovery is faster. It can technically be reversed; the single anastomosis, though, poses a risk of bile reflux.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combination technique that draws on the benefits of both sleeve gastrectomy and intestinal bypass. In two stages, the stomach is first converted into a narrow tube and the small intestine is then rerouted to exclude its greater part from active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
Specifics: removal of the ghrelin-producing zone shrinks the stomach and appetite, and routing food past part of the intestine curbs calorie absorption. Appropriate for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after a sleeve that failed.
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
Preparing for bariatric surgery at City Medical Centre
A surgeon's consultation comes first — reviewing medical history, picking a method, planning recovery
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
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
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
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
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Our specialists
Bariatric surgeons with experience who put patients' health first
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
The country's most prolific surgeon in SASJ operations. A member of the national Society of Bariatric Surgeons' expert council and a frequent speaker at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
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
Choosing the surgical method is individual for each patient at our clinic. Doctors first review your health, history of weight and related conditions and then propose the most suitable surgical option.
Support that stays in touch
After surgery the City Medical Centre team continues to support you. Throughout year one, specialists track weight loss, review your tests and answer all your questions on diet and recovery.
Fast recovery
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back to normal life within a week.
Full diagnostics on site
You don't have to go clinic to clinic. Our centre has everything needed for your work-up — own lab, ultrasound, gastroscopy. Fast preparation, no queues, one building.
Recovery after bariatric surgery
Recovery depends heavily on the individual, but minimally invasive laparoscopic methods keep rehabilitation as short as possible.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
Within the first hours after surgery you may sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
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
Frequently asked questions
about bariatric surgery at CMC
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 work with modern laparoscopic technique. The operation needs only 4 small punctures, 5 to 15 mm each. Cosmetic sutures are applied, so healed marks are almost invisible.
What diet do I need to follow?
Your diet changes in stages: from liquid food to soft, then to solid. The focus is on protein and on limiting high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre provides four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. We choose each method individually by BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
After bariatric surgery pregnancy is possible, yet doctors recommend at least 12–18 months of waiting. Meanwhile the body stabilizes, weight arrives at target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
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.
Can the weight come back?
Weight can come back after bariatric surgery, but this is very unlikely if you follow your doctor's advice. Proper nutrition, skipping high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Prices
Leave a request by the end of the month: a free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Choosing a bariatric method in Leipzig
Bariatric surgery is a medical treatment for obesity and related diseases. Unlike plastic surgery, it changes how the digestive tract works and addresses the causes of excess weight. For patients from Leipzig, four main methods are available: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass and SADI-S. Each is chosen individually based on BMI, related conditions and personal goals.
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 Leipzig.
There are no hidden fees: one package covers everything required for the result. It brings together experienced surgeons, round-the-clock care, meals, nursing, a coordinator and a legal result guarantee. Tick the situations that apply to you and request a free check of your case; a coordinator will contact patients from Leipzig to arrange the next steps.
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