14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
Gastric Sleeve and Bypass in Ulhasnagar
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No secret fees and no surprises — one package takes you all the way.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
A surgical consultation makes sense with a high BMI and also with related conditions
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 lasting result from diets 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 lasting result from diets and medication over several years.
Surgery is prescribed only when clear criteria are met
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.
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 role of body mass index (BMI)
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.
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.
Chronic conditions? Please seek a consultation with 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

Sleeve gastrectomy
The surgeon removes the larger part of the stomach so it becomes a narrow tube. This strongly reduces how much fits in a portion and lowers ghrelin, the hunger hormone; the patient feels full faster and eats less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: compared with bypass operations, the result is less stable. When the diet is not followed — notably with high-calorie drinks and liquid food — weight may return.

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: 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)
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: on par with the classic Roux-en-Y bypass — patients shed up to 75–80% of excess weight.
Specifics: the operation is shorter and recovery faster. Reversal is technically possible, but a single anastomosis means 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: one of the strongest bariatric procedures, with 80–90% excess weight loss and a long-lasting result.
Specifics: with the ghrelin-producing zone removed, the smaller stomach reduces appetite; redirecting food past part of the intestine limits calorie uptake. Used for super obesity (BMI over 50), severe type 2 diabetes, or as a second stage when a sleeve was ineffective.
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
The journey begins with a surgeon consultation: medical history, method choice, recovery planning

Lab tests
Biochemistry, HbA1c, complete blood count, urinalysis and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of stress.
The day before
Final light meal in the evening; last drinks 3–4 hours before surgery.

Lab tests
Biochemistry, HbA1c, complete blood count, urinalysis and a coagulation panel (clotting test).
Instrumental diagnostics
Chest X-ray, ECG, kidney and abdomen ultrasound, Doppler for leg veins.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
GP, endocrinologist, psychiatrist, cardiologist, plus gynecologist (women).

Diet
Starting 2–4 weeks pre-surgery, drop fast carbs and fats; on the eve, move to light meals.
Lifestyle
A month prior, give up smoking, ease off exercise and steer clear of stress.
The day before
Final light meal in the evening; last drinks 3–4 hours before surgery.
Bariatric surgeons with deep experience and real care for patients' 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
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.
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 decide on the surgical method case by case. Before choosing, they evaluate your health, weight history and related conditions in order to offer the surgical treatment that fits best.

Support that stays in touch
The City Medical Centre team stays with you after surgery. Throughout the first year, specialists track your weight loss, monitor your tests and answer all questions about 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
Skip the trips between clinics. Our centre provides everything for your work-up, our own lab through ultrasound and gastroscopy. Prep is quick and free of queues, all in one building.
Recovery is mostly down to the individual; still, minimally invasive laparoscopic methods keep rehabilitation as short as possible.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's extent and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each 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! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.

Duration
For 1 to 5 days the patient stays in the clinic under observation; this depends on the surgery's extent and related conditions.
Activity
In the first hours after the operation you can sit up, stand and drink fluids.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
7–14 days after surgery you can return to work, depending on how physical the job is.
Restrictions
No bathhouse, sauna or intense physical exercise during the first weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.

Pace
When they follow specialist advice, patients lose an average of 10% of excess weight each 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! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
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
Bariatric vs plastic surgery: what's the difference?
Many confuse the two, yet their purposes are fundamentally different. Bariatric surgery is medicine's treatment for obesity and related diseases: it changes how the digestive tract operates and addresses the causes of excess weight and metabolism. Plastic surgery reshapes outer contours of the body without treating obesity or affecting metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
The operation uses modern laparoscopic technique, through 4 small punctures of 5 to 15 mm. We place cosmetic sutures, and after healing the marks become almost invisible.
What diet do I need to follow?
Your diet changes in stages: from liquid food to soft, then to solid. The focus is on protein and on limiting 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?
Pregnancy is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.
Do I need to take vitamins after surgery?
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.
Can the weight come back?
After bariatric surgery weight regain can happen, but it is very unlikely if the doctor's advice is followed. What matters is proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
Leave a request by the end of the month: a free consultation on any service
Service
Discounted price
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 Ulhasnagar with a higher BMI or type 2 diabetes, a bypass may fit better; the surgeon compares options at the consultation.
A personal coordinator is assigned from day one, so no one goes through the process alone. After the first examination, each patient gets an individual diagnostic programme to identify every disorder in the body. Then the surgeon selects the method and performs the laparoscopic operation, and a doctor stays nearby 24/7. That is the sequence for everyone from Ulhasnagar.
Everything needed for the result is combined in one package, with no hidden fees and no surprises. For patients from Ulhasnagar, it includes surgery by a dedicated team, round-the-clock care in the ward with meals and nursing, a doctor nearby 24/7 and a personal coordinator. The first step is a free 15-minute consultation with a bariatric surgeon.
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Apply before the end of the year and get a consultation at the clinic's expense!