Bariatric Surgery in Nottingham with a Contract Guarantee

Yes, bariatric surgery is the medical term for it. At City Medical Centre the main methods are sleeve gastrectomy (gastric sleeve) and gastric bypass; the surgeon chooses the method by your BMI and health.

Usually a BMI over 40, or over 35 with related health conditions. The surgeon confirms whether surgery suits you at the consultation.

Bariatric operations at the clinic are performed by experienced bariatric surgeons:

• Ruslan S. Menzulin — bariatric surgeon and surgical oncologist, 9 years of experience. Trained at Mercy clinic (USA) under Vadim Gushchin, spoke at the World Congress of bariatric surgery in Santiago (2025). Co-author of an international study published in The Lancet.
• Andrey G. Ugay — lead bariatric surgeon, 27 years of experience. Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons.

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Surgery is prescribed only when clear criteria are met

• The patient's body mass index (BMI)
• Overall health and any related chronic conditions
• Weight-loss attempts using conventional methods have not succeeded

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.

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.

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.

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.

Recovery depends on what you do. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming is allowed after 30 days, other exercise is added gradually as weight drops. Travel and holidays: best planned no earlier than a month after surgery.

In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting high-calorie, fatty food.

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.

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.

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.