guarantee
Bariatric Surgery in Tucson with a Contract Guarantee
for good —
14,000 CMC patients already live in a new body. The result is fixed in an official contract, legally and not only verbally.
patients
experience
from excess weight
rating
Bariatric Surgery in Tucson 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
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
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
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)
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
- Unsuccessful past attempts at weight loss by traditional means
Why don't diets and exercise work for everyone?
Many people keep trying diets and exercise for years while the body resists: metabolism slows, appetite climbs and the weight they lost comes back. When diet changes and medicines alone clearly cannot fundamentally improve the situation, bariatric surgery turns into the only effective way out.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Unsuccessful past attempts at weight loss by traditional means
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 keep trying diets and exercise for years while the body resists: metabolism slows, appetite climbs and the weight they lost comes back. When diet changes and medicines alone clearly cannot fundamentally improve the situation, bariatric surgery turns into the only effective way out.
Medical indications
for bariatric surgery
Please check with a clinic doctor if you live with chronic conditions!
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 during surgery, and what remains becomes a narrow tube. This cuts portion size significantly and reduces ghrelin, the hormone of hunger, so patients feel full sooner and eat less.
Effectiveness: the method fits a BMI between 35 and 45. Average loss is 60–70% of excess weight.
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 surgeon creates a small 50–70 ml pouch at the top of the stomach and connects it directly to the small intestine. This limits food intake and reduces calorie absorption by shortening the path food travels through the gut.
Effectiveness: considered the “gold standard” when BMI exceeds 45–50 with type 2 diabetes. Patients lose 75–85% of excess weight.
Specifics: longer-lasting than other bariatric methods. Conditions such as diabetes and hypertension often go into remission. Since the anatomy of digestion is altered, patients need vitamin and mineral supplements for life.
Mini gastric bypass (MGB)
This is an improved version of the classic bypass. Unlike the standard method, the surgeon creates only one connection (anastomosis) between the small stomach and the small intestine. The simpler technique is easier on the patient and needs less recovery time.
Effectiveness: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
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 contemporary combined technique uniting what is best in sleeve gastrectomy and intestinal bypass. Two stages are involved: first a narrow tube is formed from the stomach, then the small intestine is rerouted, leaving most of it outside active digestion.
Effectiveness: counted among the most powerful bariatric operations — 80–90% excess weight loss with a durable 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
The first step is a surgeon's consultation covering medical history, method selection and recovery plan
Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
ECG plus chest X-ray, abdomen 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 out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Lab tests
A complete blood count, urinalysis, biochemistry, HbA1c and clotting test (coagulation panel).
Instrumental diagnostics
ECG plus chest X-ray, abdomen 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 out, quit cigarettes, reduce physical exertion and avoid stress.
The day before
Last light food in the evening, last liquids 3–4 hours prior to surgery.
Our specialists
Seasoned bariatric surgeons who look after their patients' well-being
Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Trained with Vadim Gushchin at Mercy clinic, and presented at the 2025 World Congress of bariatric surgery. Co-author of an international paper 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
City Medical Centre takes a full-picture approach to obesity. Once the first examination is done, each patient gets a tailored diagnostic program (lab and instrumental) that reveals every disorder in the body.
A method matched to your goal
Our doctors tailor the choice of surgical method to each patient. Ahead of the decision they study your health, weight history and related conditions to offer the best-suited surgical treatment.
Support that stays in touch
The City Medical Centre team remains by your side after surgery. For the whole first year, specialists follow your weight loss, check your tests and answer every question about 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
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 kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step of weight loss.
Duration
The patient is kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
You are permitted to sit up, stand and drink fluids in the first hours after surgery.
Wound care
Absorbable sutures are used; they dissolve on their own.
Work
You can return to work 7–14 days after surgery, depending on how physical your job is.
Restrictions
Bathhouse, sauna and intense workouts are off-limits for the first weeks.
Diet
A staged diet is prescribed for 1–2 months, moving from liquids to solids so the stomach can adapt.
Pace
With the specialists' advice followed, average loss is 10% of excess weight per month.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
Important! Recovery is overseen by City Medical Centre specialists, with psychological and medical support at every step 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?
People often confuse these two, though their aims are fundamentally different. Bariatric surgery is medical treatment of obesity and associated diseases. It changes the way the digestive tract works, acting on the causes of excess weight and on metabolism. Plastic surgery alters outer body contours and does not treat obesity or affect metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
Our approach is modern laparoscopic technique: 4 small punctures of 5 to 15 mm. We use cosmetic sutures, so the marks turn almost invisible after healing.
What diet do I need to follow?
Your diet changes step by step: from liquid food to soft and then to solid. The emphasis is on protein and on cutting high-calorie, fatty food.
What types of bariatric surgery are there?
There are four main types of bariatric surgery at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. BMI, related conditions and the patient's goals guide the individual choice of method.
Can I plan a pregnancy after surgery?
You can become pregnant after bariatric surgery, but doctors advise a wait of at least 12–18 months. Over this period the body stabilizes, weight hits target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, vitamins after bariatric surgery are necessary. The body absorbs certain nutrients less well due to the changed digestive anatomy, so regular vitamin and mineral supplements become a permanent part of the patient's life.
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
Submit an application before the month ends — free consultation on any service
Service
Discounted price
City Medical Centre licences
Other services at our clinic
Bariatric surgery in Tucson: from consultation to result
Sleeve gastrectomy turns most of the stomach into a narrow tube, reducing portion size and levels of ghrelin, the hunger hormone. It suits a BMI of 35 to 45, with patients losing on average 60–70% of excess weight. For anyone from Tucson with a higher BMI or type 2 diabetes, a bypass may fit better; the surgeon compares options at the consultation.
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 Tucson discuss these points with the surgeon well before the operation date.
A permanent team — not a duty shift — handles your case, and the whole package is transparent. Included are the operation, 24/7 care in the ward, meals, nursing and a personal coordinator from day one, plus support throughout the first year. Tucson patients also get a contractual result guarantee. Book a free consultation to discuss your situation.
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