14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
Bariatric Operations in Memphis: Who They Suit
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Hidden fees? None. Surprises? None. One package, full route.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Grounds for a surgeon's consultation include related conditions as well as a 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
Several years of diets and drugs, yet no durable 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
Several years of diets and drugs, yet no durable result.
Surgery is prescribed only when clear criteria are met
BMI serves as the chief indicator of obesity severity. Divide body weight (kg) by height squared (m²) to calculate it. Surgery is normally justified at BMI above 40, or above 35 with serious accompanying conditions. In selected cases it is considered at lower values as well — if non-surgical methods did not help.
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 role of body mass index (BMI)
BMI serves as the chief indicator of obesity severity. Divide body weight (kg) by height squared (m²) to calculate it. Surgery is normally justified at BMI above 40, or above 35 with serious accompanying conditions. In selected cases it is considered at lower values as well — if non-surgical methods did not help.
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.
If chronic conditions apply to you, please 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

Sleeve gastrectomy
The surgeon takes out most of the stomach and shapes the rest into a narrow tube. Portion size shrinks sharply and ghrelin, the hunger hormone, drops, so fullness comes much faster and the patient eats less.
Effectiveness: the method fits a BMI between 35 and 45. Average loss is 60–70% of 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 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: with a BMI over 45–50 and type 2 diabetes, this is the “gold standard”. Excess weight loss is as high as 75–85%.
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: comparable to the classic Roux-en-Y bypass — patients lose 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)
SADI-S is an up-to-date combined technique joining the strengths of sleeve gastrectomy and intestinal bypass. There are two stages: the stomach is first made into a narrow tube, and then the small intestine is rerouted to exclude most of it from active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: appetite falls as the smaller stomach loses the zone that produces ghrelin, while food rerouted around part of the intestine yields fewer absorbed calories. Right for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after an ineffective sleeve.
Book a consultation
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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
It all opens with a surgeon's consultation — medical history, selecting a method, 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
GP, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.

Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Light last meal in the evening; final 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
GP, cardiologist, endocrinologist, psychiatrist, and a gynecologist for women.

Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Bariatric surgeons with experience who put patients' health first

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
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 handles obesity comprehensively. After the first exam, every patient gets an individual diagnostic program (lab plus instrumental) designed to pinpoint every disorder in the body.

A method matched to your goal
Our doctors choose the surgical method individually for each patient. Before deciding, they review your health, weight history and related conditions to offer the most suitable surgical treatment.

Support that stays in touch
The City Medical Centre team is with you after surgery too. For the full first year, specialists track weight loss, keep an eye on your tests and answer every diet and recovery question.

Fast recovery
Laparoscopic bariatric operations at City Medical Centre make recovery far shorter. Most patients are moving on day one and resume their normal life within a week.

Full diagnostics on site
No shuttling between clinics. Your full work-up happens at our centre, from our own lab to ultrasound and gastroscopy. Preparation is quick, there are no queues, and it is all in one building.
Recovery largely depends on the individual, but minimally invasive laparoscopic techniques keep rehabilitation as short 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
In the early hours after surgery you can already sit up, stand and have 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
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.

Duration
The patient remains under observation at the clinic for 1 to 5 days, depending on the scope of surgery and related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have 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
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Following the specialists' advice, patients lose on average 10% of excess weight per month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
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
Bariatric vs plastic surgery: what's the difference?
Many mix them up, but they pursue fundamentally different goals. Bariatric surgery medically treats obesity and related diseases by changing how the digestive tract functions, addressing the causes of excess weight and metabolism. Plastic surgery reshapes the external contours of the body; it does not treat obesity or influence 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?
You move through diet stages from liquid food to soft and finally solid. Protein comes first, and high-calorie, fatty food is restricted.
What types of bariatric surgery are there?
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.
Can I plan a pregnancy after surgery?
It is possible to get pregnant after bariatric surgery, but doctors recommend a minimum wait of 12–18 months. During it the body stabilizes, weight reaches its target and nutritional status is normalized.
Do I need to take vitamins after surgery?
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.
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.
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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 Memphis, 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.
The work-up is done in one building with its own lab, ultrasound and gastroscopy, so preparation is quick and without queues. After laparoscopic surgery, the patient stays under observation for 1 to 5 days depending on the extent of the operation. Within the first hours you may sit up, stand and drink. Most Memphis patients are up and moving on day one.
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 Memphis, the first consultation with the surgeon is free and takes about 15 minutes.
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