guarantee
Gastric Sleeve and Bypass in Louisville
for good —
14,000 CMC patients already enjoy life in a new body. Your result is written into a formal contract — binding by law, not by words.
patients
experience
from excess weight
rating
Gastric Sleeve and Bypass in Louisville
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
Nothing hidden, nothing unexpected. One package for every step.
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
A surgical consultation is warranted not only by a high BMI but also by related conditions
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.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Standard approaches to weight loss have not worked before
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches 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.
Medical indications
for bariatric surgery
Chronic conditions? Please seek a consultation with a clinic doctor!
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
In the operation the surgeon removes most of the stomach, leaving a narrow tube. Portions become much smaller and levels of ghrelin, the hunger hormone, fall, so the patient feels full far 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 outcome lasts less reliably than after bypass. Weight can come back if the diet is neglected, above all with high-calorie drinks and liquid food.
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: 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)
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: matches the classic Roux-en-Y bypass — patients' excess weight loss is up to 75–80%.
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 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: a smaller stomach reduces appetite by removing the ghrelin-producing zone, and rerouting food past part of the intestine limits calorie absorption. It suits 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
Preparing for bariatric surgery at City Medical Centre
Step one is a consultation with the surgeon: your history, the right method and a recovery plan
Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
Leg vein Doppler, chest X-ray, ECG, and abdominal and kidney ultrasound.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
2–4 weeks before the operation, limit fast carbs and fats; the day prior, eat only light meals.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Our specialists
Experienced bariatric surgeons who care about their patients' 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
Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons; speaks regularly at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre sees obesity comprehensively. From the first examination, each patient has a personal diagnostic program (lab and instrumental) built to identify every disorder present in the body.
A method matched to your goal
Our doctors select the surgical method for each patient individually. Before deciding, they assess your health, weight history and related conditions to suggest the most suitable surgical treatment.
Support that stays in touch
City Medical Centre's team stays with you once surgery is over. During the first year, specialists monitor your weight loss and test results and answer any questions on diet and recovery.
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
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
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.
Duration
Patients stay under observation at the clinic 1 to 5 days, depending on how extensive the surgery is 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
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each stage of weight loss.
Duration
Patients stay under observation at the clinic 1 to 5 days, depending on how extensive the surgery is 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
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
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
Frequently asked questions
about bariatric surgery at CMC
Bariatric vs plastic surgery: what's the difference?
Though often confused, the two have fundamentally different goals. Bariatric surgery is a medical treatment of obesity and related illnesses; it changes the functioning of the digestive tract to address the causes of excess weight and metabolism. Plastic surgery reshapes the outer contours of the body and neither treats obesity nor affects 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?
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 offers four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is chosen individually according to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy after bariatric surgery is possible, though doctors recommend waiting at least 12–18 months. In that time the body stabilizes, weight reaches its target and nutritional status returns to normal.
Do I need to take vitamins after surgery?
Yes, after bariatric surgery vitamins cannot be skipped. As the digestive anatomy changes, some nutrients are absorbed less well, making regular vitamin and mineral supplements a permanent feature of the patient's life.
Can the weight come back?
Weight can be regained after bariatric surgery, but this is very unlikely with the doctor's advice followed. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are crucial.
Prices
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Everything about bariatric surgery for Louisville patients
Surgery is usually justified with a BMI above 40, or above 35 when serious related conditions are present, and sometimes at lower values if other approaches have failed. People in Louisville who have carried 30 kg or more above normal for years, whose weight returns after every diet, or who live with type 2 diabetes, hypertension or joint pain are typical candidates.
During the operation the surgeon works laparoscopically, which keeps rehabilitation as short as possible. Right after, you are under round-the-clock care in a ward, with meals and nursing included. After discharge, most people in Louisville return to their normal routine within a week, following a diet plan and avoiding saunas and heavy exercise for the first weeks.
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 Louisville to arrange the next steps.
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