guarantee
Laparoscopic Bariatric Surgery in San Francisco
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
Laparoscopic Bariatric Surgery in San Francisco
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 secret fees and no surprises — one package takes you all the way.
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
It is not only a high BMI that justifies a surgical consult — related diseases do too
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
- Standard approaches to weight loss have not worked before
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
- Standard approaches to weight loss have not worked before
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 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
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
Here the surgeon removes most of the stomach, reshaping it into a narrow tube. That greatly limits portion size and lowers ghrelin, the hunger hormone — the patient feels full much more quickly and eats less.
Effectiveness: this method is for a BMI of 35 to 45. Patients drop 60–70% of excess weight on average.
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 surgeon forms a small 50–70 ml pouch at the top of the stomach and joins it straight to the small intestine. This restricts food intake and cuts calorie absorption by shortening the route food takes through the gut.
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: results hold better than with other bariatric methods. Related conditions like diabetes and hypertension frequently go into remission. Since digestive anatomy is altered, vitamin and mineral supplements are needed for life.
Mini gastric bypass (MGB)
This is a refined form of the classic bypass. Unlike the standard technique, the surgeon makes just one connection (anastomosis) between the small stomach and the small intestine. The simpler approach is gentler on the patient and requires less recovery time.
Effectiveness: comparable to the classic Roux-en-Y bypass — patients lose up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
As a modern combined technique, SADI-S brings together the benefits of sleeve gastrectomy and intestinal bypass. Its two stages: making the stomach into a narrow tube, then rerouting the small intestine so the majority of it is excluded from active digestion.
Effectiveness: one of the strongest bariatric procedures, with 80–90% excess weight loss and a long-lasting result.
Specifics: a smaller stomach curbs appetite because the ghrelin-producing zone is removed, and sending food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or a second stage after a sleeve that did not work.
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
Step one is a consultation with the surgeon: your history, the right method and a recovery plan
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.
Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP and endocrinologist, psychiatrist, cardiologist, and gynecologist for women.
Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, lower physical activity and shun stress.
The day before
Evening meal is light and the last; fluids end 3–4 hours before surgery.
Our specialists
Bariatric surgeons with deep experience and real care for patients' health
Ruslan S. Menzulin
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.
Andrey G. Ugay
Lead bariatric surgeon · surgeon
Top in the country by number of SASJ operations performed. Expert council member of the national Society of Bariatric Surgeons, with 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 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
Our doctors pick the surgical method for every patient individually. They examine your health, weight history and related conditions before deciding, so they can propose the most suitable 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
Laparoscopic bariatric operations at City Medical Centre make recovery far shorter. Most patients are moving on day one and resume their normal life within a week.
Full diagnostics on site
You won't need to visit several clinics. Our centre covers the whole work-up, from our in-house lab to ultrasound and gastroscopy. Quick preparation with no queues, all in one building.
Recovery after bariatric surgery
How recovery goes is largely individual, yet minimally invasive laparoscopic techniques keep the rehabilitation period to a minimum.
Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
A return to work is possible 7–14 days after surgery, based on how physical your job is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each stage of weight loss.
Duration
The patient is monitored at the clinic for 1 to 5 days, according to the extent of surgery and any related conditions.
Activity
In the early hours after surgery you can already sit up, stand and have fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
A return to work is possible 7–14 days after surgery, based on how physical your job is.
Restrictions
For the first few weeks, skip the bathhouse, sauna and intense exercise.
Diet
For 1–2 months, a staged diet moves you from liquids to solids to let the stomach adjust.
Pace
On specialists' advice, patients typically lose an average of 10% of excess weight per month.
Stabilization
Reaching the final result takes 1.5–2 years. The patient has by then built steady eating habits that prevent weight from returning.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout 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?
Many people confuse the two, but their goals are fundamentally different. Bariatric surgery is a medical treatment for obesity and related diseases. It changes how the digestive tract works, addressing the causes of excess weight and metabolism. Plastic surgery reshapes 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 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?
In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting high-calorie, fatty food.
What types of bariatric surgery are there?
City Medical Centre offers four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is chosen individually according to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
It is possible to get pregnant after bariatric surgery, but doctors recommend a minimum wait of 12–18 months. During it the body stabilizes, weight reaches its target and nutritional status is normalized.
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 regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.
Prices
Apply before the end of the month and get a free consultation for any service
Service
Discounted price
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Other services at our clinic
Everything about bariatric surgery for San Francisco patients
Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in San Francisco should know that it requires lifelong vitamin and mineral supplements.
Eating changes in stages. A staged diet lasts 1–2 months, moving from liquid to soft to solid food so the stomach can adapt, with the focus on protein and limited high-calorie, fatty dishes. Following specialist advice, patients lose on average 10% of excess weight per month. Those from San Francisco build stable eating habits that keep the weight from returning.
There are no hidden fees: one package covers everything required for the result. It brings together experienced surgeons, round-the-clock care, meals, nursing, a coordinator and a legal result guarantee. Tick the situations that apply to you and request a free check of your case; a coordinator will contact patients from San Francisco to arrange the next steps.
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