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Bariatric Operations in Manchester: Who They Suit
for good —
14,000 CMC patients already live in a transformed body. Your result is locked into an official contract — legally, beyond just words.
patients
experience
from excess weight
rating
Bariatric Operations in Manchester: Who They Suit
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 secret fees and no surprises — one package takes you all the way.
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
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 outcome from diets and medication across 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 outcome from diets and medication across several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
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.
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?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains 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)
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?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
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
In surgery, most of the stomach is taken out and the rest is formed into a narrow tube. Portions become far smaller and ghrelin, the hormone behind hunger, drops, so the patient feels full quicker and eats less.
Effectiveness: the method fits a BMI between 35 and 45. Average loss is 60–70% of excess weight.
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
A 50–70 ml pouch is formed at the upper end of the stomach and linked directly to the small intestine. It limits food intake and lowers calorie absorption because food moves along a shorter stretch of the gut.
Effectiveness: viewed as the “gold standard” for BMI over 45–50 plus type 2 diabetes. It removes 75–85% of excess weight.
Specifics: the result endures better than with alternative bariatric methods. Associated diabetes and hypertension frequently go into remission. Lifelong vitamin and mineral supplements are required because the digestive anatomy changes.
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 with the classic Roux-en-Y bypass: patients drop up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.
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 the most powerful bariatric operations — excess weight loss reaches 80–90% with a lasting result.
Specifics: removing the ghrelin-producing zone makes the stomach smaller and lowers appetite, while rerouting food around part of the intestine restricts calorie absorption. Indicated 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
Preparing for bariatric surgery at City Medical Centre
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus 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
GP, endocrinologist, psychiatrist, cardiologist and gynecologist (for 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, reduce physical activity and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus 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
GP, endocrinologist, psychiatrist, cardiologist and gynecologist (for 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, reduce physical activity and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Our specialists
Veteran bariatric surgeons who truly care about their patients' health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Mercy clinic training under Vadim Gushchin; speaker at the World Congress of bariatric surgery (2025). Among the co-authors of an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Leads the country in SASJ operations performed. Expert council member at the national Society of Bariatric Surgeons, speaking regularly 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
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 remains with you after surgery. Over the first year specialists watch your weight loss, monitor test results and respond to all questions regarding diet and recovery.
Fast recovery
Bariatric operations at City Medical Centre are laparoscopic, which greatly shortens recovery. Most patients are up and moving on day one and return 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 after bariatric surgery
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation as short as possible.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
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
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each 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! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every stage of weight loss.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
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
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each 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! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every 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?
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?
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?
Pregnancy after bariatric surgery can happen, though doctors advise holding off at least 12–18 months. In this period the body becomes stable, weight reaches target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins are essential after bariatric surgery. As digestive anatomy changes, the body absorbs certain nutrients less well, so regular vitamin and mineral supplements become a lasting part of the patient's life.
Can the weight come back?
Although weight regain after bariatric surgery is possible, it is very unlikely if you follow the doctor's advice. Proper eating, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Prices
Submit an application before the month ends — free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Everything about bariatric surgery for Manchester patients
Mini gastric bypass is an improved version of the classic operation with a single connection between the small stomach and the intestine. The technique is simpler, recovery shorter, and weight loss reaches 75–80% of excess weight. It is technically reversible, but bile reflux is a possible risk. For people from Manchester, the surgeon explains such trade-offs before any decision.
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 Manchester.
Your investment covers more than surgery. The package includes the full diagnostic programme, the chosen laparoscopic method, inpatient care with food and nursing staff, round-the-clock medical presence and specialists tracking your weight and tests throughout the first year. For people searching for weight loss surgery in Manchester, the first consultation with the surgeon is free and takes about 15 minutes.
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