14,000 CMC patients already live in a new body. The result is fixed in an official contract, legally and not only verbally.
Bariatric Surgery for Patients from Nairobi
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Nothing hidden, nothing unexpected. One package for every step.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Seeing a surgeon is justified by related conditions as well, not by a high BMI alone
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.
Surgery is prescribed only when clear criteria are met
Doctors assess obesity chiefly through BMI: take body weight (kg) and divide it by height squared (m²). Surgical treatment is usually justified at a BMI over 40, or over 35 with serious related conditions. Surgery may also be considered at lower values in some cases — where non-surgical approaches have failed.
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Key factors
The role of body mass index (BMI)
Doctors assess obesity chiefly through BMI: take body weight (kg) and divide it by height squared (m²). Surgical treatment is usually justified at a BMI over 40, or over 35 with serious related conditions. Surgery may also be considered at lower values in some cases — where non-surgical approaches have failed.
Why don't diets and exercise work for everyone?
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Have chronic conditions? Please consult one of the clinic's doctors!
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
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: this method is for a BMI of 35 to 45. Patients drop 60–70% of excess weight on average.
Specifics: less durable results than bypass operations. Without sticking to the diet, especially avoiding high-calorie drinks and liquid food, the weight may return.

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: regarded as the “gold standard” for a BMI over 45–50 with type 2 diabetes. Loss of excess weight reaches 75–85%.
Specifics: the result is more durable than with other bariatric techniques. Diabetes, hypertension and similar related conditions often enter remission. The changed digestive anatomy means lifelong vitamin and mineral supplements.

Mini gastric bypass (MGB)
This operation is an improvement on the classic bypass. Compared with the standard technique, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. Its simplicity makes it easier for the patient, with less recovery time.
Effectiveness: comparable with the classic Roux-en-Y bypass: patients drop up to 75–80% of excess weight.
Specifics: the operation is shorter and recovery faster. Reversal is technically possible, but a single anastomosis means a risk of bile reflux.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S, a modern combined technique, pairs the benefits of sleeve gastrectomy and intestinal bypass. It is carried out in two stages: the stomach is reshaped into a narrow tube, after which the small intestine is rerouted so most of it is bypassed in active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: appetite drops because the smaller stomach no longer has its ghrelin-producing zone, and bypassing part of the intestine cuts calorie absorption. It fits super obesity (BMI over 50), severe type 2 diabetes, or serves as a second stage following 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
It all opens with a surgeon's consultation — medical history, selecting a method, a recovery plan

Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.

Lab tests
Complete blood count and urinalysis, biochemistry, HbA1c, coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, psychiatrist, endocrinologist, cardiologist; gynecologist for female patients.

Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Bariatric surgeons with deep experience and real care for patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained at Mercy clinic, mentored by Vadim Gushchin, and spoke at the World Congress of bariatric surgery in 2025. A co-author of an international study 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 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 tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.

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
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
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 depends heavily on the individual, but 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
Soon after surgery — within the first hours — you may sit up, stand and take 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
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.

Pace
Patients sticking to the specialists' advice shed 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! 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
Soon after surgery — within the first hours — you may sit up, stand and take 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
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.

Pace
Patients sticking to the specialists' advice shed 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! 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
Bariatric vs plastic surgery: what's the difference?
These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Modern laparoscopic technique is what we use. Just 4 small punctures of 5 to 15 mm are needed for the operation. Cosmetic sutures mean the marks are nearly invisible after healing.
What diet do I need to follow?
Your meals progress in stages: liquid food, soft food, then solid. The stress is on protein and on reducing high-calorie, fatty food.
What types of bariatric surgery are there?
Four main bariatric surgery types are available at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is picked individually, considering 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 after bariatric surgery are a must. Because the digestive anatomy changes, the body absorbs some nutrients less well, so regular vitamin and mineral supplements become a permanent part of the patient's life.
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.
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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 Nairobi in these situations can discuss it at a consultation.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Nairobi discuss these points with the surgeon well before the operation date.
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 Nairobi, the first consultation with the surgeon is free and takes about 15 minutes.
Well-known people who spoke openly about this operation, in their own words.
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