guarantee
Laparoscopic Bariatric Surgery in Perth
for good —
14,000 CMC patients already live in a transformed body. Your result is locked into an official contract — legally, beyond just words.
patients
experience
from excess weight
rating
Laparoscopic Bariatric Surgery in Perth
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 hidden fees. No surprises. One package — the full journey.
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
Both a high BMI and associated conditions can make a surgical consultation worthwhile
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.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Previous tries at losing weight with ordinary methods 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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Previous tries at losing weight with ordinary methods have failed
The role of body mass index (BMI)
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.
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.
Medical indications
for bariatric surgery
Have chronic conditions? Please consult one of the clinic's doctors!
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
The operation involves removing most of the stomach and turning it into a narrow tube. As a result portions shrink a lot and the hunger hormone ghrelin falls, so the patient reaches fullness sooner and eats less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: the result is not as long-lasting as with bypass surgery. Breaking the diet, particularly through high-calorie drinks and liquid food, can bring weight back.
Roux-en-Y gastric bypass
The operation creates a small 50–70 ml stomach pouch at the top and connects it directly with the small intestine. Less food can be taken in, and fewer calories are absorbed because the path through the gut is shorter.
Effectiveness: known as the “gold standard” for a BMI over 45–50 combined with type 2 diabetes. Excess weight loss hits 75–85%.
Specifics: the result lasts better than with other bariatric methods. Related conditions such as diabetes and hypertension often go into remission. Because the digestive anatomy changes, lifelong vitamin and mineral supplements are needed.
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: in line with the classic Roux-en-Y bypass — loss of up to 75–80% of excess weight.
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 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: with the ghrelin-producing zone removed, the smaller stomach reduces appetite; redirecting food past part of the intestine limits calorie uptake. Used for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage when a sleeve was ineffective.
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
A surgeon's consultation comes first — reviewing medical history, picking a method, planning recovery
Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Lab tests
Complete blood and urine tests, biochemistry, HbA1c, and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, ultrasound of abdomen and kidneys, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Cardiologist, endocrinologist, psychiatrist, GP and gynecologist (for women).
Diet
For 2–4 weeks before surgery, cut out fast carbs and fats; the day before, eat light meals.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Our specialists
Experienced surgeons in bariatrics who care about patient health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Completed training at Mercy clinic with Vadim Gushchin; presented at the World Congress of bariatric surgery (2025). Co-authored an international study in The Lancet.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Performed the highest number of SASJ operations in the country. An expert council member of the national Society of Bariatric Surgeons who often presents at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.
A method matched to your goal
Our doctors choose the surgical method individually for each patient. Before deciding, they review your health, weight history and related conditions to offer the most suitable surgical treatment.
Support that stays in touch
The City Medical Centre team is with you after surgery too. For the full first year, specialists track weight loss, keep an eye on your tests and answer every diet and recovery question.
Fast recovery
At City Medical Centre, bariatric operations are laparoscopic, which significantly shortens recovery. Most patients are up and active on day one and return to normal life within a week.
Full diagnostics on site
No running from clinic to clinic. Our centre has everything for your work-up, from its own lab to ultrasound and gastroscopy. Preparation is fast, queue-free and all under one roof.
Recovery after bariatric surgery
Recovery varies from person to person, but minimally invasive laparoscopic techniques make rehabilitation as short as it can be.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
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
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
The final outcome arrives within 1.5–2 years. By this time the patient has lasting eating habits that stop the weight returning.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
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
The stomach adapts through a staged diet over 1–2 months, progressing from liquids to solids.
Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each month.
Stabilization
The final outcome arrives within 1.5–2 years. By this time the patient has lasting eating habits that stop the weight returning.
Important! Recovery takes place under the supervision of City Medical Centre specialists, who give psychological and medical support at all weight-loss stages.
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?
Many confuse the two, yet their purposes are fundamentally different. Bariatric surgery is medicine's treatment for obesity and related diseases: it changes how the digestive tract operates and addresses the causes of excess weight and metabolism. Plastic surgery reshapes outer contours of the body without treating obesity or affecting metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Modern laparoscopic technique allows the operation through 4 small punctures of 5 to 15 mm. Cosmetic sutures make the marks almost invisible when fully healed.
What diet do I need to follow?
Diet changes happen in stages, from liquids to soft food and then solids. It centers on protein and limits high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre provides four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. We choose each method individually by BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy after bariatric surgery can happen, though doctors advise holding off at least 12–18 months. In this period the body becomes stable, weight reaches target values and nutritional status normalizes.
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 may return after bariatric surgery, though that is very unlikely when you follow the doctor's advice. Key factors: proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
Prices
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Other services at our clinic
Weight loss surgery in Perth step by step
Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Perth 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.
The work-up is done in one building with its own lab, ultrasound and gastroscopy, so preparation is quick and without queues. After laparoscopic surgery, the patient stays under observation for 1 to 5 days depending on the extent of the operation. Within the first hours you may sit up, stand and drink. Most Perth patients are up and moving on day one.
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 Perth, the first consultation with the surgeon is free and takes about 15 minutes.
Stories of well-known people
Well-known people who spoke openly about this operation, in their own words.
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