14,000 CMC patients already live in a different body. The result is stated in an official contract — in law, not just in talk.
Bariatric Operations in New South Memphis: Who They Suit
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden extras. Nothing unexpected. One package, start to end.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Not just high BMI: associated health conditions also warrant a surgical consultation
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 durable effect from dieting and medication over 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 durable effect from dieting and medication over several years.
Surgery is prescribed only when clear criteria are met
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
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)
Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.
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.
Please consult a clinic doctor if you have 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

Sleeve gastrectomy
During surgery the surgeon removes most of the stomach, turning it into a narrow tube. This greatly reduces portion size and lowers ghrelin, the hunger hormone, so the patient feels full much faster and eats less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: bypass operations give a more durable result. Should the diet be ignored, especially with high-calorie drinks and liquid food, weight can 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: the operation counts as the “gold standard” for BMI above 45–50 with type 2 diabetes; 75–85% of excess weight is lost.
Specifics: outcomes are more durable than with other bariatric procedures. Diabetes, hypertension and other related conditions often go into remission. With the digestive anatomy changed, lifelong vitamin and mineral supplements are a must.

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: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
Specifics: a faster operation and shorter recovery. The procedure can be undone technically, but there is a bile reflux risk from 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: one of the most powerful bariatric operations — excess weight loss reaches 80–90% with a long-lasting result.
Specifics: the reduced stomach lowers appetite once the ghrelin-producing zone is removed, and routing food past a section of intestine limits how many calories are absorbed. Suitable for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after an ineffective sleeve.
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Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan

Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, cardiologist, psychiatrist and gynecologist (women only).

Diet
In the 2–4 weeks leading up to surgery, reduce fast carbs and fats; light meals the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.

Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, cardiologist, psychiatrist and gynecologist (women only).

Diet
In the 2–4 weeks leading up to surgery, reduce fast carbs and fats; light meals the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Experienced bariatric surgeons who care about their 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 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 approaches obesity in a comprehensive way. Each patient, after the first examination, is assigned a personal diagnostic program (lab and instrumental) to identify all disorders 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
No need to run between clinics. Our centre has everything for your work-up, from our own lab to ultrasound and gastroscopy. Preparation is quick, with no queues, 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 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
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
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! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each stage of weight loss.

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
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
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! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each 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?
We rely on modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm. Cosmetic sutures are used, so after healing the marks are barely visible.
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 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?
Bariatric surgery does not rule out pregnancy, but doctors suggest waiting 12–18 months or more. During that time the body settles, weight reaches target values and nutrition 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?
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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Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in New South Memphis start thinking about surgery. A consultation is warranted not only by a high BMI but also by related conditions. The surgeon reviews your health and weight history and offers the most suitable of the four surgical methods.
Recovery is short thanks to the minimally invasive technique, and absorbable sutures dissolve on their own. Office work is usually resumed after 2–4 weeks and physical work after about 1.5 months; swimming is allowed after 30 days, with other exercise added gradually. For the first weeks, no sauna or intense training. New South Memphis residents get the same step-by-step guidance from the team.
If you are comparing bariatric surgery options in New South Memphis, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
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