guarantee
Bariatric Surgery for Patients from Philadelphia
for good —
14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
patients
experience
from excess weight
rating
Bariatric Surgery for Patients from Philadelphia
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 concealed charges or surprises. The whole journey, one package.
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
A surgical consultation makes sense with a high BMI and also with related conditions
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Several years of diets and drugs, yet no durable result.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Several years of diets and drugs, yet no durable result.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Past attempts to shed weight in conventional ways were unsuccessful
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Past attempts to shed weight in conventional ways were unsuccessful
The role of body mass index (BMI)
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
Why don't diets and exercise work for everyone?
Many people try various diets and exercise for years, but the body fights back: metabolism slows, appetite grows and the lost weight returns. When it becomes clear that diet changes and medication alone cannot fundamentally improve the situation, bariatric surgery becomes the only effective way out.
Medical indications
for bariatric surgery
Chronic illness? Please talk to a doctor at the clinic first!
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 surgeon removes the larger part of the stomach so it becomes a narrow tube. This strongly reduces how much fits in a portion and lowers ghrelin, the hunger hormone; the patient feels full faster and eats less.
Effectiveness: suitable for a BMI of 35 to 45. Patients lose 60–70% of their excess weight on average.
Specifics: the result holds up less well than after bypass operations. If the diet is broken, particularly with high-calorie drinks and liquid food, weight may come 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: regarded as the “gold standard” for a BMI over 45–50 with type 2 diabetes. Loss of excess weight reaches 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)
An upgraded take on the classic bypass. In contrast to the standard method, only a single connection (anastomosis) is made between the small stomach and the small intestine. Being simpler, the technique is easier on the patient and shortens recovery.
Effectiveness: comparable to the classic Roux-en-Y bypass — patients lose up to 75–80% of excess weight.
Specifics: shorter operating time and faster recovery. Though technically reversible, it carries a risk of bile reflux due to the single anastomosis.
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: appetite drops because the smaller stomach no longer has its ghrelin-producing zone, and bypassing part of the intestine cuts calorie absorption. It fits super obesity (BMI over 50), severe type 2 diabetes, or serves as a second stage following an ineffective sleeve.
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
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist and gynecologist (for women).
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of 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
Chest X-ray and ECG, abdominal and renal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist and gynecologist (for women).
Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of stress.
The day before
Last light meal the evening before; stop fluids 3–4 hours before surgery.
Our specialists
Our experienced bariatric surgeons care about every patient's 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
No one in the country has performed more SASJ operations. On the expert council of the national Society of Bariatric Surgeons; gives regular talks 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
Our doctors match the surgical method to each individual patient. They review your health, weight history and accompanying conditions before deciding, to offer you the most appropriate surgical treatment.
Support that stays in touch
After surgery, the team at City Medical Centre stays with you. For the entire first year, specialists keep track of your weight loss, oversee your tests and answer all questions about diet and recovery.
Fast recovery
City Medical Centre performs bariatric operations laparoscopically, which shortens recovery considerably. Most patients are on their feet on day one and back 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
While recovery is largely individual, minimally invasive laparoscopic techniques keep rehab time as short as possible.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! Recovery is supervised by City Medical Centre specialists, who provide psychological and medical support at every stage of weight loss.
Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
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
You may get back to work 7–14 days post-surgery, depending on the physical load of your job.
Restrictions
In the first weeks, avoid the bathhouse, sauna and intense physical exercise.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
Patients who follow what specialists advise lose 10% of excess weight per month on average.
Stabilization
The final result is reached in 1.5–2 years. By then the patient has built stable eating habits that prevent the weight from returning.
Important! Recovery is supervised by City Medical Centre specialists, who provide psychological and medical support 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
Frequently asked questions
about bariatric surgery at CMC
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?
Modern laparoscopic technique is what we use. Just 4 small punctures of 5 to 15 mm are needed for the operation. Cosmetic sutures mean the marks are nearly invisible after healing.
What diet do I need to follow?
Stage by stage, you move from liquid food to soft and then solid. Priority goes to protein, and high-calorie, fatty food is limited.
What types of bariatric surgery are there?
The four main types of bariatric surgery at City Medical Centre are sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is matched individually to BMI, related conditions and the patient's 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, vitamins are essential after bariatric surgery. As digestive anatomy changes, the body absorbs certain nutrients less well, so regular vitamin and mineral supplements become a lasting part of the patient's life.
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
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Service
Discounted price
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Other services at our clinic
Weight loss surgery in Philadelphia step by step
SADI-S combines a sleeve with intestinal bypass in two stages and is one of the most powerful bariatric operations, with 80–90% excess weight loss and a long-lasting result. It suits super obesity with a BMI over 50, severe type 2 diabetes, or a second stage after an ineffective sleeve. Anyone in Philadelphia in these situations can discuss it at a consultation.
The final result is reached in 1.5–2 years. Throughout the first year the team tracks weight loss, monitors tests and answers questions about diet and recovery, providing psychological and medical support at every stage. For patients in Philadelphia, regular follow-up with specialists and avoiding high-calorie drinks are the keys to keeping the result for good.
Before spending on another diet, get a professional assessment. A short no-cost talk with the surgeon, about a quarter of an hour, shows whether your BMI and related conditions justify surgery. If they do, one package takes you through tests, the operation, care in the ward and follow-up, with the weight loss result set in a contract. Residents of Philadelphia can apply online.
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