Weight Loss Surgery in Owerri
14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
Weight Loss Surgery in Owerri
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.
Real before and after photos of City Medical Centre patients. Results are individual.
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BeforeAfterNot 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 lasting result from diets 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 lasting result from diets and medication over several years.
Surgery is prescribed only when clear criteria are met
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
Key factors
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Why don't diets and exercise work for everyone?
Many spend years on diets and exercise, and the body fights them all the way: metabolism slows, appetite grows, the lost kilos come back. As soon as it is clear that medication and diet changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way out.
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
Most of the stomach is removed in the operation, leaving a narrow tube. Portion size falls dramatically and ghrelin, the hunger hormone, declines, meaning the patient gets full much 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: 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 shapes a small pouch, 50–70 ml, from the top of the stomach and routes it directly to the small intestine. Food intake drops and calorie absorption decreases as food covers a shorter distance in the gut.
Effectiveness: this operation is seen as the “gold standard” with a BMI above 45–50 and type 2 diabetes. Excess weight falls by up to 75–85%.
Specifics: compared with other bariatric methods, the result is more stable. Conditions like diabetes and hypertension commonly go into remission. The altered digestive anatomy requires lifelong vitamin and mineral supplements.

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: close to the classic Roux-en-Y bypass, with patients losing up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
The modern combined technique SADI-S unites the benefits of sleeve gastrectomy and intestinal bypass. It proceeds in two stages: the surgeon first turns the stomach into a narrow tube, then reroutes the small intestine so that most of it is kept out of active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: appetite falls as the smaller stomach loses the zone that produces ghrelin, while food rerouted around part of the intestine yields fewer absorbed calories. Right 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
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and 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 out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.

Lab tests
Tests: complete blood count, urinalysis, biochemistry, HbA1c, coagulation panel (clotting).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
A GP, endocrinologist, psychiatrist and 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 out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
A light dinner is the last meal; no fluids in the 3–4 hours before surgery.
Experienced bariatric surgeons devoted to their patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Took training at Mercy clinic under Vadim Gushchin and addressed the World Congress of bariatric surgery (2025). Co-author of an international study that The Lancet published.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Leads the country in SASJ operations performed. Expert council member at the national Society of Bariatric Surgeons, speaking regularly at national and international congresses.
City Medical Centre takes a full-picture approach to obesity. Once the first examination is done, each patient gets a tailored diagnostic program (lab and instrumental) that reveals every 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
After surgery the City Medical Centre team continues to support you. Throughout year one, specialists track weight loss, review your tests and answer all your questions on diet and recovery.

Fast recovery
The laparoscopic approach to bariatric operations at City Medical Centre greatly reduces recovery. Most patients are mobile on day one and return to everyday life within a week.

Full diagnostics on site
Forget going between clinics. Everything for your work-up is here, including our own lab, ultrasound and gastroscopy. Preparation is quick and queue-free, all in a single building.
The pace of recovery is largely personal, but minimally invasive laparoscopic techniques shorten rehabilitation as much as possible.

Duration
The length of clinic observation is 1 to 5 days, depending on the extent of the operation and related conditions.
Activity
In the first hours post-op, sitting up, standing and drinking fluids are fine.
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
The first weeks exclude bathhouse, sauna and intense physical exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Following the specialists' advice, patients lose 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! City Medical Centre specialists supervise your recovery and support you psychologically and medically at every stage of weight loss.

Duration
The length of clinic observation is 1 to 5 days, depending on the extent of the operation and related conditions.
Activity
In the first hours post-op, sitting up, standing and drinking fluids are fine.
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
The first weeks exclude bathhouse, sauna and intense physical exercise.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
Following the specialists' advice, patients lose 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! 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 mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies the body's outer contours; it does not treat obesity or affect 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?
Eating changes gradually: liquid food first, then soft, then solid. The focus is protein, with high-calorie, fatty food kept to a minimum.
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 is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.
Do I need to take vitamins after surgery?
Yes, after bariatric surgery vitamins cannot be skipped. As the digestive anatomy changes, some nutrients are absorbed less well, making regular vitamin and mineral supplements a permanent feature of the patient's life.
Can the weight come back?
After bariatric surgery weight regain can happen, but it is very unlikely if the doctor's advice is followed. What matters is proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
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Surgery is usually justified with a BMI above 40, or above 35 when serious related conditions are present, and sometimes at lower values if other approaches have failed. People in Owerri who have carried 30 kg or more above normal for years, whose weight returns after every diet, or who live with type 2 diabetes, hypertension or joint pain are typical candidates.
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 Owerri.
What sets this programme apart is a result guarantee written into an official contract: weight loss is fixed legally, not just in words. Surgeons have 9–27 years in the field and work as a permanent team. Owerri residents can tick the situations that sound familiar on the page and then check their case for free with a surgeon.
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Apply before the end of the year and get a consultation at the clinic's expense!