beforeafterIrina, 26
Bariatric surgery
Bariatric surgery
Gastric Sleeve and Bypass in Theni
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 on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
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
Choose your method with confidence by comparing our two main procedures — sleeve gastrectomy and gastric bypass — in terms of how they work, their purpose and their indications.
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
Treat the recovery times and benefits here as guidance averaged by method: how extensive the surgery is and how you recover depend on your own anatomy and features, and the surgeon confirms this 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
Whether to have surgery is decided together with the surgeon after the consultation and check-up.
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?
Write to us on Telegram — a coordinator will let you know whether bariatric surgery is an option for you. The surgeon consultation costs nothing and carries no obligation to operate.
Find out if it suits me
Prices
You know the price
before surgery
At the consultation, when your plan is ready, we name the cost and fix it 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
Following a health assessment and a talk about your goals, the doctor chooses the right bariatric surgery method. The cost is named at the consultation and set in the contract.
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
price
What the $3,600 price includes
A single package: preparation through 12 months of support, no extra charges.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
Monitoring in hospital, an agreed treatment plan and support for a whole year.
1Consultation and a treatment plan
The doctor assesses your health, discusses your goals and orders the tests needed to choose the right bariatric surgery method.
2Booking the surgery date
A surgery date is reserved for you, with the deposit paid by card at the clinic or online by bank transfer. The terms are recorded in the contract for medical services
3Tests before surgery
At the consultation the doctor gives you the exact list of pre-surgery checks: blood and urine tests, an ECG, an ultrasound, a gastroscopy and visits to specialists.
4Surgery
The surgeon performs the bariatric operation with the chosen method under general anaesthesia. After surgery the patient is monitored by the medical team.
5Inpatient stay
After the operation you stay in hospital under doctors' supervision for 1–3 to 4–5 days, depending on the complexity of the operation and how you feel.
6Recovery
The clinic team supports you for a year after discharge: you get advice on diet and recovery, and scheduled check-ups track your well-being, weight and test results.
At the consultation the doctor draws up a plan 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
Your surgeon operates and follows you — from the first consultation to the result.
Our patient care manager holds the first consultation — calculating your BMI, explaining the methods and booking you with the surgeon. It costs nothing.
Book a consultationCoordinators
Clinic coordinators
We support you at every stage
From the first message to the consultation, your first point of contact at the clinic
Patient care specialist
Handles your questions before the first consultation and helps you choose a convenient date
- Explains each step of preparation
- Reminds you about tests and check-ups
With you before and while you stay with us, from booking to discharge
Patient care specialist
Supports your preparation for surgery and keeps in touch during your clinic stay
- Supports you before and after surgery
- Helps with documents and bookings
Stays with you during recovery, from discharge until your final check-up
Patient care specialist
Books your follow-up visits with the surgeon and keeps in touch during recovery
- Answers questions during recovery
- Books follow-up visits
Advantages
Why patients choose City Medical Centre
A personal approach at every stage
We pick the best method for your health, lifestyle and goals, and our team is with you all the way.
Long-term
support after surgery
We support you in adapting to new eating habits, tracking results and keeping them.
Real and lasting results
Better well-being, steady weight loss and a higher quality of life.
Your schedule is our priority
We respect your time: we work daily 10:00–18:00, with easy booking and a personal approach — we adapt to your pace.
Fixed prices
Once the consultation is over, the surgeon chooses the method and you receive a clear price — no hidden fees and no surprises on the way to your result.
FAQ
Answers to what people ask
before booking
Bariatric operations here are carried out by experienced bariatric surgeons:
- 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.
Get in touch by message: our coordinator will reply shortly and 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
- Previous tries at losing weight with ordinary methods have failed
To gauge obesity, doctors rely primarily on BMI, which equals body weight (kg) divided by the square of height (m²). An operation is usually warranted with a BMI over 40, or over 35 with serious associated conditions. Occasionally surgery is weighed at lower values as well, once non-surgical options have failed.
The two are often confused, yet their goals differ fundamentally. Bariatric surgery is a medical treatment for obesity and its related diseases. It alters how the digestive tract works, tackling the causes of excess weight and metabolism. Plastic surgery changes the body's outer contours; it neither treats obesity nor affects metabolism.
City Medical Centre performs four main types of bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is chosen individually based on BMI, related conditions and the patient's goals.
Modern laparoscopic technique is what we use. Just 4 small punctures of 5 to 15 mm are needed for the operation. Cosmetic sutures mean the marks are nearly invisible after healing.
When you recover depends on your activity. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming is fine after 30 days; other exercise gets added gradually as weight drops. Travel and holidays: best planned from a month after surgery.
The diet shifts in stages — liquid, then soft, then solid food. Protein is the priority, while high-calorie, fatty food is limited.
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, after bariatric surgery vitamins cannot be skipped. As the digestive anatomy changes, some nutrients are absorbed less well, making regular vitamin and mineral supplements a permanent feature of the patient's life.
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.