guarantee
Bariatric Surgery for Patients from Riga
for good —
14,000 CMC patients already have a new body. We put the result in an official contract, so it is legal rather than merely verbal.
patients
experience
from excess weight
rating
Bariatric Surgery for Patients from Riga
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
Hidden fees? None. Surprises? None. One package, full route.
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
Not 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
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)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Weight-loss attempts using conventional methods have not succeeded
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
- Weight-loss attempts using conventional methods have not succeeded
The role of body mass index (BMI)
The degree of obesity is mainly assessed with BMI: body weight (kg) divided by height squared (m²). As a rule, surgery is justified when BMI exceeds 40, or exceeds 35 alongside serious related conditions. In some cases lower values may also qualify for surgery if non-surgical approaches 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.
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
During surgery the surgeon removes most of the stomach, turning it into a narrow tube. This greatly reduces portion size and lowers ghrelin, the hunger hormone, so the patient feels full much 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: the “gold standard” for patients with a BMI over 45–50 and type 2 diabetes. Up to 75–85% of excess weight is lost.
Specifics: outcomes are more durable than with other bariatric procedures. Diabetes, hypertension and other related conditions often go into remission. With the digestive anatomy changed, lifelong vitamin and mineral supplements are a must.
Mini gastric bypass (MGB)
This operation is an improvement on the classic bypass. Compared with the standard technique, the surgeon creates a single connection (anastomosis) between the small stomach and the small intestine. Its simplicity makes it easier for the patient, with less recovery time.
Effectiveness: in line with the classic Roux-en-Y bypass — loss of up to 75–80% of excess weight.
Specifics: brief surgery and rapid recovery. While technically reversible, the procedure has a bile reflux risk linked to the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is an up-to-date combined technique joining the strengths of sleeve gastrectomy and intestinal bypass. There are two stages: the stomach is first made into a narrow tube, and then the small intestine is rerouted to exclude most of it from active digestion.
Effectiveness: one of the most potent bariatric operations; excess weight loss hits 80–90% and the result is long-lasting.
Specifics: removal of the ghrelin-producing zone shrinks the stomach and appetite, and routing food past part of the intestine curbs calorie absorption. Appropriate for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after a sleeve that failed.
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
It starts with a surgeon's consultation: medical history, choice of method and a recovery plan
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, abdominal and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).
Diet
2–4 weeks out, give up fast carbs and fats; switch to light meals on the day before surgery.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Lab tests
Full blood count and urine test, biochemistry, HbA1c, plus a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, abdominal and kidney ultrasound, leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).
Diet
2–4 weeks out, give up fast carbs and fats; switch to light meals on the day before surgery.
Lifestyle
One month ahead, stop smoking, cut back on physical activity and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Our specialists
Veteran bariatric surgeons who truly care about their patients' 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
At City Medical Centre, obesity is approached as a whole. After the initial examination each patient is given an individual diagnostic program, both lab and instrumental, to find all disorders 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
All bariatric operations at City Medical Centre are laparoscopic, which greatly speeds recovery. Most patients get up and move on the first day 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
How recovery goes is largely individual, yet minimally invasive laparoscopic techniques keep the rehabilitation period to a minimum.
Duration
The length of clinic observation is 1 to 5 days, depending on the extent of the operation and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
No sauna, no bathhouse and no intense physical exercise for the first weeks.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
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! Your recovery is supervised by City Medical Centre specialists, who give psychological and medical support through each 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
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Work can be resumed 7–14 days after surgery, depending on how physically demanding it is.
Restrictions
No sauna, no bathhouse and no intense physical exercise for the first weeks.
Diet
A staged diet is set for 1–2 months — from liquid to solid food — so the stomach can adapt.
Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
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! Your recovery is supervised by City Medical Centre specialists, who give psychological and medical support through each 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?
Though often confused, the two have fundamentally different goals. Bariatric surgery is a medical treatment of obesity and related illnesses; it changes the functioning of the digestive tract to address the causes of excess weight and metabolism. Plastic surgery reshapes the outer contours of the body and neither treats obesity nor affects metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
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.
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?
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.
Can I plan a pregnancy after surgery?
Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.
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?
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.
Prices
Get a free consultation for any service when you apply before the month is out
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Choosing a bariatric method in Riga
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 Riga 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.
A personal coordinator is assigned from day one, so no one goes through the process alone. After the first examination, each patient gets an individual diagnostic programme to identify every disorder in the body. Then the surgeon selects the method and performs the laparoscopic operation, and a doctor stays nearby 24/7. That is the sequence for everyone from Riga.
If you are comparing bariatric surgery options in Riga, look beyond the operation itself. Here the package bundles the work-up in the centre's own lab, laparoscopic surgery, the stay with meals and nursing, a doctor on hand 24/7 and a year of follow-up. Apply for a free surgeon consultation to see how this applies to your case.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Get a consultation
Apply before the end of the year and get a consultation at the clinic's expense!