Laparoscopic Bariatric Surgery in Lodz

Yes, bariatric surgery is the medical term for it. At City Medical Centre the main methods are sleeve gastrectomy (gastric sleeve) and gastric bypass; the surgeon chooses the method by your BMI and health.

Usually a BMI over 40, or over 35 with related health conditions. The surgeon confirms whether surgery suits you at the consultation.

Bariatric operations here are carried out by experienced bariatric surgeons:

• 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.

Message us — our coordinator will be in touch shortly to arrange your consultation. There is no charge for the bariatric surgeon consultation.

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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
• Past attempts to shed weight in conventional ways were unsuccessful

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 confuse them, but the goals are fundamentally different. Bariatric surgery is a medical way to treat obesity and related diseases. It changes how the digestive tract works, getting at the causes of excess weight and metabolism. Plastic surgery only reshapes the body's outer contours; it does not treat obesity or affect metabolism.

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.

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.

Your recovery depends on your activities. Office work: in 2–4 weeks. Physical work: in 1.5 months. Sport and activity: swimming after 30 days, with other exercise introduced gradually as weight drops. Travel and holidays: plan them a month or more after surgery.

Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.

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.

Yes, vitamins become essential after bariatric surgery. The changed digestive anatomy lowers absorption of some nutrients, so regular vitamin and mineral supplements turn into a permanent part of the patient's life.

Weight may return after bariatric surgery, though that is very unlikely when you follow the doctor's advice. Key factors: proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.