beforeafterIrina, 26
Bariatric surgery
Bariatric surgery
Laparoscopic Bariatric Surgery in Pietermaritzburg
Discounted price
$3,600
$4,800 · First consultation — Free
before
after
all the way. Your surgery and recovery plan is discussed free of charge — before you decide.
Message our coordinator
We reply right in the chat — you can send photos
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Results
Weight loss results of our patients
All cases are real patients of the clinic.
beforeafter
beforeafterAngelina, 22
Bariatric surgery
beforeafterAnna, 31
Bariatric surgery
beforeafterVeronika, 25
Bariatric surgery
beforeafterValentina, 23
Bariatric surgery
beforeafterEvgenia, 41
Bariatric surgery
beforeafterAnna, 27
Bariatric surgery
beforeafterVeronika, 26
Bariatric surgery
beforeafterKristina, 23
Bariatric surgery
beforeafterAnna, 24
Bariatric surgery
beforeafterVeronika, 34
Bariatric surgery
Comparison
Weight loss
methods
We offer two main options: gastric bypass and sleeve gastrectomy. Weigh up how each works, its purpose and its indications to settle on your method with confidence.
Sleeve gastrectomy
Reducing the stomach volume
Discounted price
$3,600 $4,800
- Main goal
- Weight loss, feeling full quickly
- When it is done
- Obesity without marked reflux
- Anaesthesia and stay
- General anaesthesia · 1–5 days in hospital
Gastric bypass
Reducing the stomach volume and rerouting food
Discounted price
$4,000 $5,200
- Main goal
- Weight loss, better metabolism
- When it is done
- Obesity, diabetes or reflux
- Anaesthesia and stay
- General anaesthesia · 1–5 days in hospital
These figures on benefits and recovery are method averages, given as a guide. Your anatomy and personal features decide the extent of surgery and recovery, which the surgeon confirms at the consultation.
Book a consultationAbout the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
Get a consultationBariatric surgery is not for everyone
Only after a consultation and check-up is the decision on surgery made, jointly with the surgeon.
SuitableBariatric surgery helps with
- Excess weight
- Hypertension
- Type 2 diabetes
- Sleep apnea
- Varicose veins
- Joint disease
- Fatty liver disease
- Reproductive health problems
Not suitableContraindications
- Age under 18
- Malignant tumors
- Pregnancy
- Blood clotting disorders
- Severe chronic and mental illness
- Acute illness or flare-ups of chronic disease
- Less than six months since breastfeeding ended
Not sure which column you belong to?
Send us a Telegram message to find out from our coordinator if bariatric surgery is right for you. There is no charge for the surgeon consultation and no commitment to surgery.
Find out if it suits me
Prices
You know the price
before surgery
The price is stated at the consultation as soon as your plan is ready and then fixed in the contract.
Discounted price
Sleeve gastrectomy
Reducing the stomach volume
$3,600$4,800
Discounted price
Gastric bypass
Weight loss and rerouting food
$4,000$5,200
Free
First consultation
Surgeon's examination and a treatment plan
Free
the cost of surgery is named
and fixed in the contract
Find out your method and the cost of surgery
The doctor checks your health, goes over your goals and chooses a suitable bariatric surgery method. The cost is stated at the consultation and fixed in the contract.
Message our coordinator
We reply right in the chat — you can send photos
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price
What the $3,600 (≈ R61,000) price includes
Preparation to 12 months of support in one package — nothing extra to pay.From preparation for surgery
to support for 12 months.
- Surgery and the surgeon's work
- General anaesthesia
- Inpatient stay after surgery
- A slimmer, healthier body
- Meals at the clinic
- Support while you keep the weight off
- A personal coordinator from day one
- Remote progress check by photos
How it works
Treatment at the clinic —
from preparation to discharge
Support for a year, hospital monitoring and a treatment plan agreed in advance.
1Consultation and a treatment plan
The doctor reviews your health and goals and orders the tests required to decide on the right bariatric surgery method.
2Booking the surgery date
The contract for medical services fixes the terms; we reserve a surgery date for you, and the deposit can be paid by card at the clinic or by bank transfer online
3Tests before surgery
Blood and urine tests, an ECG, an ultrasound, a gastroscopy and specialist visits come before surgery. At the consultation the doctor gives you the exact list.
4Surgery
Using the chosen method, the surgeon performs the bariatric surgery under general anaesthesia. Once it is over, the medical team monitors the patient.
5Inpatient stay
After surgery you remain in hospital under doctors' supervision. Expect a stay of 1–3 to 4–5 days, depending on the complexity of the operation and how you feel.
6Recovery
When you are discharged, you get diet and recovery advice. Regular scheduled check-ups track your well-being, weight and test results, and the clinic team supports you for a year.
The doctor draws up a plan at the consultation and explains how the surgery will go
The consultation is free, before surgery and with no obligation.
Book a consultationDoctors
Surgeons you can trust
Andrey G. Ugay
27 years of experience
Lead bariatric surgeon
Surgeon
- Has performed the largest number of SASJ operations in the country
- Expert council member of the national Society of Bariatric Surgeons
- Speaks regularly at national and international congresses
Ruslan S. Menzulin
9 years of experience
Bariatric surgeon
Surgical oncologist
- 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
The surgeon who operates on you also follows you, from the first consultation to the result.
First you meet our patient care manager: they calculate your BMI, go over the methods and arrange your surgeon appointment. Free of charge.
Book a consultationCoordinators
Clinic coordinators
We support you at every stage
The first person you deal with at the clinic, from your first message to the consultation
Patient care specialist
Helps you find a convenient date and answers your questions before your first consultation
- Explains each step of preparation
- Reminds you about tests and check-ups
By your side before and during your stay, from booking to discharge
Patient care specialist
Stays in touch during your clinic stay and helps you prepare for surgery
- Supports you before and after surgery
- Helps with documents and bookings
With you all through recovery, from discharge to the final check-up
Patient care specialist
Remains in touch during recovery and books your follow-up appointments with the surgeon
- Answers questions during recovery
- Books follow-up visits
Advantages
Why patients choose City Medical Centre
A personal approach at every stage
We match the best method to your health, lifestyle and goals. Our team is by your side all the way.
Long-term
support after surgery
We help you adopt new eating habits, track your results and make them last.
Real and lasting results
Weight loss that is steady, better well-being and a higher quality of life.
Your schedule is our priority
Your time matters to us: we work every day 10:00–18:00, booking is simple and we take a personal approach at your pace.
Fixed prices
After the consultation you know the method the surgeon has chosen and the clear price, with no hidden fees and no surprises on the way to your result.
FAQ
Answers to what people ask
before booking
Experienced bariatric surgeons carry out bariatric operations at the clinic:
- 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.
Drop us a message and our coordinator will get back to you shortly to book your consultation. The bariatric surgeon consultation is free.
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
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.
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.
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.
We apply modern laparoscopic technique, operating through 4 small punctures of 5 to 15 mm. Thanks to cosmetic sutures, the marks are almost invisible once they heal.
Recovery varies with your activities. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming is permitted after 30 days; other exercise is added gradually as weight decreases. Travel and holidays: best scheduled at least a month after surgery.
Diet changes happen in stages, from liquids to soft food and then solids. It centers on protein and limits high-calorie, fatty food.
After bariatric surgery pregnancy is possible, yet doctors recommend at least 12–18 months of waiting. Meanwhile the body stabilizes, weight arrives at target values and nutritional status normalizes.
Yes, vitamins are a must after bariatric surgery. Changes in digestive anatomy mean the body absorbs some nutrients less effectively, so regular vitamin and mineral supplements are part of the patient's life for good.
Regaining weight after bariatric surgery is possible, yet very unlikely when you stick to the doctor's advice. The keys are proper nutrition, no high-calorie drinks and regular check-ups with City Medical Centre specialists.
Bariatric Surgery in Pietermaritzburg: price and what is included
Prices are in US dollars; the amount in brackets is an approximate conversion to ZAR at the rate of 02.10.2026. The final price is fixed in your contract.
- Bariatric Surgeryfrom $3,600 (≈ R61,000)
How much does bariatric surgery in Pietermaritzburg cost?
Prices start from $3,600 (≈ R61,000). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
What is included in the price?
General anaesthesia, a personal coordinator from day one, monitoring in the hospital and support for one year.
How long do the procedure and recovery take?
The hospital stay is 1–5 days, depending on the method and how you feel. Office work is possible after 2–4 weeks.
Is the first consultation free?
Yes. The first consultation is free and does not oblige you to anything. You can start online by sending a message to the coordinator.
How do I get my exact price?
Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.
By messaging us, you agree to our Privacy Policy
