guarantee
Bariatric Surgery in Rome with a Contract Guarantee
for good —
14,000 CMC patients already live in a different body. The result is stated in an official contract — in law, not just in talk.
patients
experience
from excess weight
rating
Bariatric Surgery in Rome with a Contract Guarantee
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
Grounds for a surgeon's consultation include related conditions as well as a high BMI
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Diets and medication have brought no lasting result 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
Diets and medication have brought no lasting result over several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
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.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional means
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
- Failure of previous attempts to lose weight by conventional means
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 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
In surgery, most of the stomach is taken out and the rest is formed into a narrow tube. Portions become far smaller and ghrelin, the hormone behind hunger, drops, so the patient feels full quicker and eats less.
Effectiveness: the method is used for a BMI of 35 to 45; average loss is 60–70% of excess weight.
Specifics: results are less lasting than with bypass surgery. Weight can return if the diet is not kept, especially with high-calorie drinks and liquid foods.
Roux-en-Y gastric bypass
The surgeon builds a 50–70 ml pouch in the upper part of the stomach and attaches it directly to the small intestine. This caps food intake and lowers calorie absorption by shortening food's route through 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)
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: comparable to the classic Roux-en-Y bypass — patients lose 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, 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 powerful bariatric operations — excess weight loss reaches 80–90% with a long-lasting result.
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
The first step is a surgeon's consultation covering medical history, method selection and recovery plan
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).
Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, renal and abdominal ultrasound, Doppler of leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).
Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Last light meal in the evening; last fluids 3–4 hours before surgery.
Our specialists
Experienced surgeons in bariatrics who care about patient health
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained under Vadim Gushchin at Mercy clinic and spoke at the 2025 World Congress of bariatric surgery. Co-author of an international study published 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
At City Medical Centre obesity is treated with a comprehensive approach. Once examined, each patient receives a personal lab and instrumental diagnostic program aimed at finding every disorder in the body.
A method matched to your goal
The surgical method is selected individually by our doctors for every patient. Your health, weight history and related conditions are reviewed first, so the most suitable surgical treatment can be offered.
Support that stays in touch
The City Medical Centre team keeps supporting you after the operation. All through the first year, specialists track how your weight drops, check your tests and handle every question on diet and recovery.
Fast recovery
Bariatric operations at City Medical Centre use laparoscopy, which greatly cuts recovery time. Most patients move around on day one and get back to normal life within a week.
Full diagnostics on site
No need to travel between clinics. From our own lab to ultrasound and gastroscopy, the centre has all you need for your work-up. Preparation is fast, without queues, in one building.
Recovery after bariatric surgery
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation 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
You may sit, stand up and drink fluids within the first few hours after surgery.
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
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! City Medical Centre specialists oversee recovery, offering 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
You may sit, stand up and drink fluids within the first few hours after surgery.
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
For the first weeks, no bathhouse, sauna or intense physical exercise.
Diet
For 1–2 months a staged diet is prescribed — liquids first, then solids — to help the stomach adapt.
Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! City Medical Centre specialists oversee recovery, offering 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?
We use modern laparoscopic technique. The operation is done through 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, so once healed the marks become almost invisible.
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?
At City Medical Centre there are four main types of bariatric surgery — sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Every method is chosen individually from BMI, related conditions and the patient's 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, 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.
Can the weight come back?
Weight can come back after bariatric surgery, but this is very unlikely if you follow your doctor's advice. Proper nutrition, skipping high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Prices
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Service
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Bariatric surgery in Rome: what you should know
Why do diets fail? The body fights back: metabolism slows, appetite grows, and lost kilos return. When diet changes and medication cannot fundamentally improve the situation, surgery becomes the effective way out. Rome residents who have tried diets, fasting and pills for years without a lasting result are exactly the patients for whom bariatric operations are intended.
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 Rome 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 Rome, the first consultation with the surgeon is free and takes about 15 minutes.
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