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Bariatric Surgery in Soshanguve: Methods and Results
for good —
14,000 CMC patients already live in a new body. The outcome is set down in a formal contract: legally binding, not just promised.
patients
experience
from excess weight
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Bariatric Surgery in Soshanguve: Methods and Results
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 hidden fees. No surprises. One package — the full journey.
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
No durable effect from dieting and medication 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
No durable effect from dieting and medication over several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures 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?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains 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 main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
Why don't diets and exercise work for everyone?
For years many try diet after diet and exercise, but the body pushes back — metabolism slows down, appetite increases and lost kilos return. When it is evident that diet changes and medication alone cannot fundamentally change the situation, bariatric surgery remains the only effective way out.
Medical indications
for bariatric surgery
Those with chronic conditions should consult a clinic doctor!
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
Most of the stomach is removed in the operation, leaving a narrow tube. Portion size falls dramatically and ghrelin, the hunger hormone, declines, meaning the patient gets full much sooner and eats less.
Effectiveness: the method suits a BMI of 35 to 45. On average patients lose 60–70% of their excess weight.
Specifics: less durable results than bypass operations. Without sticking to the diet, especially avoiding high-calorie drinks and liquid food, the weight may return.
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: 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: the result lasts better than with other bariatric methods. Related conditions such as diabetes and hypertension often go into remission. Because the digestive anatomy changes, lifelong vitamin and mineral supplements are needed.
Mini gastric bypass (MGB)
An advanced version of the classic bypass. Differing from the standard method, it involves only one connection (anastomosis) from the small stomach to the small intestine. The simpler technique is gentler on patients and needs a shorter recovery period.
Effectiveness: results comparable to classic Roux-en-Y bypass — up to 75–80% of excess weight lost.
Specifics: surgery takes less time and recovery is faster. It can technically be reversed; the single anastomosis, though, poses a risk of bile reflux.
Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S is a modern combination technique that draws on the benefits of both sleeve gastrectomy and intestinal bypass. In two stages, the stomach is first converted into a narrow tube and the small intestine is then rerouted to exclude its greater part from active digestion.
Effectiveness: a top-power bariatric operation — loss of excess weight reaches 80–90%, with a long-lasting result.
Specifics: a smaller stomach reduces appetite by removing the ghrelin-producing zone, and rerouting food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after 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
You begin with a surgeon's consultation, where history, method and recovery plan are covered
Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Lab tests
Blood and urine analysis, biochemistry, HbA1c, coagulation panel to check clotting.
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Cut back on fast carbs and fats 2–4 weeks before surgery, and eat light the day before.
Lifestyle
One month out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Our specialists
Veteran bariatric surgeons who truly care about their 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
Has performed more SASJ operations than any other surgeon in the country. Part of the expert council of the national Society of Bariatric Surgeons; regularly presents at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
The approach to obesity at City Medical Centre is comprehensive. Following an initial examination, a personal diagnostic program — lab and instrumental — is drawn up for each patient to detect 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
City Medical Centre's team remains with you after surgery. Over the first year specialists watch your weight loss, monitor test results and respond to all questions regarding diet and recovery.
Fast recovery
City Medical Centre's bariatric operations are laparoscopic, so recovery is much shorter. On day one most patients are already up and moving, and within a week they return to normal life.
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
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
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
Within hours of surgery, you can sit up, get on your feet and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
Back to work in 7–14 days after surgery, depending on how physical your job happens to be.
Restrictions
During the first weeks, stay away from bathhouses, saunas and intense exercise.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.
Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
The final result takes 1.5–2 years. By that stage, the patient has stable eating habits in place that block weight regain.
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?
It is common to confuse them, but their goals are fundamentally different. Bariatric surgery treats obesity and related diseases medically. By changing how the digestive tract works, it addresses the causes of excess weight and metabolism. Plastic surgery shapes the body's outer contours; it does not treat obesity and has no effect on metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
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.
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 provides four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. We choose each method individually by BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
Pregnancy after bariatric surgery is possible, though doctors recommend waiting at least 12–18 months. In that time the body stabilizes, weight reaches its target and nutritional status returns to normal.
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?
It is possible to regain weight after bariatric surgery, but very unlikely if you follow your doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are essential.
Prices
A free consultation for any service if you apply before the end of the month
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Sleeve, bypass or SADI-S in Soshanguve: a short guide
Weight that began in childhood, a family history of obesity, shortness of breath on stairs, avoiding photos — these are common reasons people in Soshanguve start thinking about surgery. A consultation is warranted not only by a high BMI but also by related conditions. The surgeon reviews your health and weight history and offers the most suitable of the four surgical methods.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Soshanguve discuss these points with the surgeon well before the operation date.
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 Soshanguve, the first consultation with the surgeon is free and takes about 15 minutes.
Stories of well-known people
Well-known people who spoke openly about this operation, in their own words.
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