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.
Surgical Treatment of Obesity in Nansana
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
All costs upfront, no surprises. One package, the full journey.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
You may need a surgical consultation because of related conditions, not only 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
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.
Surgery is prescribed only when clear criteria are met
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
Key factors
The role of body mass index (BMI)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Why don't diets and exercise work for everyone?
Many try all kinds of diets and exercise for years, yet the body defends itself — metabolism drops, hunger grows and lost weight returns. Once it is obvious that medication and a changed diet alone cannot fundamentally fix the situation, bariatric surgery becomes the only effective path.
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

Sleeve gastrectomy
The surgeon removes the larger part of the stomach so it becomes a narrow tube. This strongly reduces how much fits in a portion and lowers ghrelin, the hunger hormone; the patient feels full faster and eats less.
Effectiveness: suitable for a BMI of 35 to 45. Patients lose 60–70% of their excess weight on average.
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 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: 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 hold better than with other bariatric methods. Related conditions like diabetes and hypertension frequently go into remission. Since digestive anatomy is altered, vitamin and mineral supplements are needed for life.

Mini gastric bypass (MGB)
This is an enhanced form of the classic bypass. The standard method differs: here the surgeon makes only one connection (anastomosis) between the small stomach and the small intestine. Thanks to the simpler technique, the patient has an easier time and recovers faster.
Effectiveness: close to the classic Roux-en-Y bypass, with patients losing up to 75–80% of excess weight.
Specifics: shorter operating time and faster recovery. Though technically reversible, it carries a risk of bile reflux due to 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: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable result.
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
You begin with a surgeon's consultation, where history, method and recovery plan are covered

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.

Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
End with a light evening meal; last drink 3–4 hours before surgery.
Bariatric surgeons with deep experience and real care for patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Underwent training at Mercy clinic under Vadim Gushchin; spoke at the World Congress of bariatric surgery (2025). Co-authored international research published in The Lancet.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
No one in the country has performed more SASJ operations. On the expert council of the national Society of Bariatric Surgeons; gives regular talks 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 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
You are not left alone after surgery — the City Medical Centre team stays with you. Across the first year, specialists follow your weight loss, monitor tests and answer all diet and recovery questions.

Fast recovery
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back 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.
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.

Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
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! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every stage of weight loss.

Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
Sitting up, standing and drinking are allowed in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
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! 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?
The two are often confused, yet their goals differ fundamentally. Bariatric surgery is a medical treatment for obesity and its related diseases. It alters how the digestive tract works, tackling the causes of excess weight and metabolism. Plastic surgery changes the body's outer contours; it neither treats obesity nor affects metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
The operation uses modern laparoscopic technique, through 4 small punctures of 5 to 15 mm. We place cosmetic sutures, and after healing the marks become almost invisible.
What diet do I need to follow?
Stage by stage, you move from liquid food to soft and then solid. Priority goes to protein, and high-calorie, fatty food is limited.
What types of bariatric surgery are there?
Four main types of bariatric surgery are performed at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each is selected individually based on BMI, related conditions and patient goals.
Can I plan a pregnancy after surgery?
Pregnancy is an option after bariatric surgery, but doctors advise waiting at least 12–18 months. By then the body has stabilized, weight has reached target values and nutritional status has normalized.
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 after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Apply before this month ends to receive a free consultation for any service
Service
Discounted price
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 Nansana in these situations can discuss it at a consultation.
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 Nansana.
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 Nansana, 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.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Apply before the end of the year and get a consultation at the clinic's expense!