guarantee
Weight Loss Surgery in Nashik: Sleeve, Bypass, SADI-S
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
Weight Loss Surgery in Nashik: Sleeve, Bypass, SADI-S
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 fees hidden away. No shocks. One package for the whole path.
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
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
Diets and medicines have failed to give a lasting result for 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
Diets and medicines have failed to give a lasting result for years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery 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?
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
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)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.
Why don't diets and exercise work for everyone?
Many people spend years on different diets and exercise, yet the body resists: metabolism slows, appetite rises and the lost weight comes back. Once it is clear that changing the diet and taking medication cannot fundamentally improve things, bariatric surgery becomes the only effective solution.
Medical indications
for bariatric surgery
Please check with a clinic doctor if you live with 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
Most of the stomach is removed during surgery, and what remains becomes a narrow tube. This cuts portion size significantly and reduces ghrelin, the hormone of hunger, so patients feel full sooner and eat less.
Effectiveness: suitable for a BMI of 35 to 45. Patients lose 60–70% of their 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
The surgeon creates a small 50–70 ml pouch at the top of the stomach and connects it directly to the small intestine. This limits food intake and reduces calorie absorption by shortening the path food travels through the gut.
Effectiveness: known as the “gold standard” for a BMI over 45–50 combined with type 2 diabetes. Excess weight loss hits 75–85%.
Specifics: longer-lasting than other bariatric methods. Conditions such as diabetes and hypertension often go into remission. Since the anatomy of digestion is altered, patients need vitamin and mineral supplements for life.
Mini gastric bypass (MGB)
This procedure improves on the classic bypass. Instead of the standard approach, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. A simpler technique means an easier experience for the patient and a shorter recovery.
Effectiveness: equal to the classic Roux-en-Y bypass — up to 75–80% of excess weight is shed.
Specifics: a shorter operation and quicker recovery. The procedure can technically be reversed, but the single anastomosis carries 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: one of the most effective bariatric operations — 80–90% of excess weight is lost, and the result lasts long.
Specifics: a smaller stomach curbs appetite because the ghrelin-producing zone is removed, and sending food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or a second stage after a sleeve that did not work.
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
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
ECG plus chest X-ray, abdomen and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Specialists: GP, endocrinologist, psychiatrist, cardiologist, gynecologist (women).
Diet
Remove fast carbs and fats 2–4 weeks before surgery, then go light on the day before.
Lifestyle
Quit smoking one month before, limit physical activity, avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Our specialists
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
Has done more SASJ operations than anyone else in the country. Sits on the expert council of the national Society of Bariatric Surgeons and regularly speaks at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
Obesity care at City Medical Centre is comprehensive. After the first check-up, every patient receives a personalized lab and instrumental diagnostic program to uncover each disorder in the body.
A method matched to your goal
The surgical method is chosen by our doctors on an individual basis. They first review your health, your weight history and related conditions, then offer the surgical treatment that suits you best.
Support that stays in touch
The City Medical Centre team stays with you after surgery. Throughout the first year, specialists track your weight loss, monitor your tests and answer all questions about 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
Running around different clinics is not necessary. Our centre has all you need for your work-up, from our lab to ultrasound and gastroscopy. Preparation is fast and queue-free, in one building.
Recovery after bariatric surgery
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation as short as possible.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
A step-by-step diet lasts 1–2 months, from liquids to solids, giving the stomach time to adapt.
Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
Duration
The patient stays under observation at the clinic for 1 to 5 days, depending on the extent of surgery and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
A step-by-step diet lasts 1–2 months, from liquids to solids, giving the stomach time to adapt.
Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
Stabilization
The final result comes in 1.5–2 years. By that point the patient has developed stable eating habits that stop the weight from returning.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
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?
It is common to confuse them, but their goals are fundamentally different. Bariatric surgery treats obesity and related diseases medically. By changing how the digestive tract works, it addresses the causes of excess weight and metabolism. Plastic surgery shapes the body's outer contours; it does not treat obesity and has no effect on metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Using modern laparoscopic technique, we perform the operation via 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, leaving marks that are nearly 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?
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, taking vitamins after bariatric surgery is mandatory. Because digestion is anatomically altered, the body absorbs some nutrients poorly, so regular vitamin and mineral supplements stay in the patient's life permanently.
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
Apply before the end of the month and get a free consultation for any service
Service
Discounted price
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Other services at our clinic
About weight loss surgery for patients from Nashik
Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in Nashik should know that it requires lifelong vitamin and mineral supplements.
During the operation the surgeon works laparoscopically, which keeps rehabilitation as short as possible. Right after, you are under round-the-clock care in a ward, with meals and nursing included. After discharge, most people in Nashik return to their normal routine within a week, following a diet plan and avoiding saunas and heavy exercise for the first weeks.
There are no hidden fees: one package covers everything required for the result. It brings together experienced surgeons, round-the-clock care, meals, nursing, a coordinator and a legal result guarantee. Tick the situations that apply to you and request a free check of your case; a coordinator will contact patients from Nashik to arrange the next steps.
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