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Bariatric Operations in Manhattan: Who They Suit
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
Bariatric Operations in Manhattan: 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
All costs upfront, no surprises. One package, the full journey.
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
Over several years, diets and medication gave no result that lasted.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Over several years, diets and medication gave no result that lasted.
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
- Conventional weight-loss methods have failed in past attempts
Why don't diets and exercise work for everyone?
Plenty of people diet and exercise for years, only for the body to resist: a slower metabolism, a bigger appetite and the weight coming back. When diet changes and medication clearly cannot fundamentally improve matters on their own, the only effective option left is bariatric surgery.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Conventional weight-loss methods have failed in past attempts
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?
Plenty of people diet and exercise for years, only for the body to resist: a slower metabolism, a bigger appetite and the weight coming back. When diet changes and medication clearly cannot fundamentally improve matters on their own, the only effective option left is bariatric surgery.
Medical indications
for bariatric surgery
Those with chronic conditions should consult 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 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 is intended for a BMI of 35 to 45. Excess weight goes down by 60–70% on average.
Specifics: compared with bypass operations, the result is less stable. When the diet is not followed — notably with high-calorie drinks and liquid food — weight may return.
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: viewed as the “gold standard” for BMI over 45–50 plus type 2 diabetes. It removes 75–85% of excess weight.
Specifics: the result lasts better than with other bariatric methods. Related conditions such as diabetes and hypertension often go into remission. Because the digestive anatomy changes, lifelong vitamin and mineral supplements are needed.
Mini gastric bypass (MGB)
This is an improved version of the classic bypass. Unlike the standard method, the surgeon creates only one connection (anastomosis) between the small stomach and the small intestine. The simpler technique is easier on the patient and needs less recovery time.
Effectiveness: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
Specifics: quicker surgery and a speedier recovery. The procedure is technically reversible; however, the single anastomosis creates a bile reflux risk.
Single anastomosis duodeno-ileal bypass (SADI-S)
A modern combined approach, SADI-S merges the benefits of sleeve gastrectomy with those of intestinal bypass. It takes two stages — turning the stomach into a narrow tube, then rerouting the small intestine so that the larger part is excluded from active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
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
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, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Lab tests
Blood count and urinalysis in full, biochemical panel, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Our specialists
Bariatric surgeons with experience who put patients' health first
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained under Vadim Gushchin at Mercy clinic and spoke at the 2025 World Congress of bariatric surgery. Co-author of an international study 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.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
The approach to obesity at City Medical Centre is comprehensive. Following an initial examination, a personal diagnostic program — lab and instrumental — is drawn up for each patient to detect every disorder in the body.
A method matched to your goal
Our doctors decide on the surgical method case by case. Before choosing, they evaluate your health, weight history and related conditions in order to offer the surgical treatment that fits best.
Support that stays in touch
After surgery, the team at City Medical Centre stays with you. For the entire first year, specialists keep track of your weight loss, oversee your tests and answer all questions about diet and recovery.
Fast recovery
At City Medical Centre bariatric surgery is laparoscopic, making recovery much shorter. Most patients are up and walking on the first day and resume 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
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.
Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and related conditions.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
The first weeks exclude 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
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support at every stage of weight loss.
Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and related conditions.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
The first weeks exclude 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
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
Full results are reached in 1.5–2 years. By then, stable eating habits are in place that prevent the weight from coming back.
Important! City Medical Centre specialists oversee recovery, offering psychological and medical support 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?
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.
How soon can I return to work and normal life?
Will there be visible scars?
Our approach is modern laparoscopic technique: 4 small punctures of 5 to 15 mm. We use cosmetic sutures, so the marks turn almost invisible after healing.
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?
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?
Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.
Do I need to take vitamins after surgery?
Yes, vitamins are a must after bariatric surgery. Changes in digestive anatomy mean the body absorbs some nutrients less effectively, so regular vitamin and mineral supplements are part of the patient's life for good.
Can the weight come back?
Weight regain is possible after bariatric surgery but very unlikely provided you follow the doctor's advice. Eat properly, avoid high-calorie drinks and keep up regular follow-up with City Medical Centre specialists.
Prices
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Service
Discounted price
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Other services at our clinic
Bariatric surgery in Manhattan: from consultation to result
SADI-S combines a sleeve with intestinal bypass in two stages and is one of the most powerful bariatric operations, with 80–90% excess weight loss and a long-lasting result. It suits super obesity with a BMI over 50, severe type 2 diabetes, or a second stage after an ineffective sleeve. Anyone in Manhattan in these situations can discuss it at a consultation.
Eating changes in stages. A staged diet lasts 1–2 months, moving from liquid to soft to solid food so the stomach can adapt, with the focus on protein and limited high-calorie, fatty dishes. Following specialist advice, patients lose on average 10% of excess weight per month. Those from Manhattan build stable eating habits that keep the weight from returning.
Weight loss is written into the contract, and the package includes every stage: consultation, diagnostics, the operation, inpatient care with meals and a year of support. A personal coordinator guides you from day one. To begin, patients from Manhattan leave a request on the page or message the clinic, then receive a free consultation with a bariatric surgeon.
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