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Surgical Treatment of Obesity in Vadodara
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Nothing hidden, nothing unexpected. One package for every step.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Seeing a surgeon is justified by related conditions as well, not by a high BMI alone
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.
Surgery is prescribed only when clear criteria are met
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
Key factors
The role of body mass index (BMI)
BMI is the key measure used to assess how severe obesity is. You get it by dividing body weight (kg) by height squared (m²). Surgery is generally justified at a BMI above 40, or above 35 when serious related conditions are present. Sometimes it is also considered at lower values — when non-surgical methods have not worked.
Why don't diets and exercise work for everyone?
People often spend years on diets and physical activity, but the body counters: metabolism slows, appetite increases, lost weight creeps back. When it is plain that changing the diet and taking medication cannot fundamentally improve things alone, bariatric surgery is the only effective exit.
If you have chronic conditions, please see a clinic doctor first!
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: the method is intended for a BMI of 35 to 45. Excess weight goes down by 60–70% 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
A small pouch of 50–70 ml is created from the upper stomach and connected directly to the small intestine. Food intake is limited, and fewer calories are absorbed because food travels a shorter path through the gut.
Effectiveness: regarded as the “gold standard” for a BMI over 45–50 with type 2 diabetes. Loss of excess weight reaches 75–85%.
Specifics: compared with other bariatric methods, the result is more stable. Conditions like diabetes and hypertension commonly go into remission. The altered digestive anatomy requires lifelong vitamin and mineral supplements.

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: comparable with the classic Roux-en-Y bypass: patients drop up to 75–80% of excess weight.
Specifics: brief surgery and rapid recovery. While technically reversible, the procedure has a bile reflux risk linked to the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
SADI-S, a modern combined technique, pairs the benefits of sleeve gastrectomy and intestinal bypass. It is carried out in two stages: the stomach is reshaped into a narrow tube, after which the small intestine is rerouted so most of it is bypassed in 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
You begin with a surgeon's consultation, where history, method and recovery plan are covered

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

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.

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

Diet
2–4 weeks before surgery, cut fast carbs and fats; the day before, switch to light meals.
Lifestyle
Stop smoking a month in advance, reduce exercise and keep stress to a minimum.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Bariatric surgeons with experience who put patients' health first

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Took training at Mercy clinic under Vadim Gushchin and addressed the World Congress of bariatric surgery (2025). Co-author of an international study that The Lancet published.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Performed the highest number of SASJ operations in the country. An expert council member of the national Society of Bariatric Surgeons who often presents 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 match the surgical method to each individual patient. They review your health, weight history and accompanying conditions before deciding, to offer you the most appropriate 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
Bariatric surgery at City Medical Centre is done laparoscopically, greatly shortening recovery. Most patients stand and walk on the first day and are back to normal life within a week.

Full diagnostics on site
You don't have to go clinic to clinic. Our centre has everything needed for your work-up — own lab, ultrasound, gastroscopy. Fast preparation, no queues, one building.
Recovery largely depends on the individual, but minimally invasive laparoscopic techniques keep rehabilitation as short as possible.

Duration
Depending on the extent of surgery and related conditions, the patient is observed at the clinic for 1 to 5 days.
Activity
In the first hours post-op, sitting up, standing and drinking fluids are fine.
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
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
Important! Your recovery is overseen by City Medical Centre specialists, who offer psychological and medical support throughout each 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
In the first hours post-op, sitting up, standing and drinking fluids are fine.
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
In the early weeks, intense exercise, sauna and bathhouse are ruled out.
Diet
The prescribed staged diet runs 1–2 months, shifting from liquids to solids so the stomach adapts.

Pace
On average, patients who follow the specialists' advice lose 10% of excess weight a month.
Stabilization
It takes 1.5–2 years to reach the final result. By then, the patient has formed steady eating habits that keep weight from coming back.
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
Bariatric vs plastic surgery: what's the difference?
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.
How soon can I return to work and normal life?
Will there be visible scars?
We work with modern laparoscopic technique. The operation needs only 4 small punctures, 5 to 15 mm each. Cosmetic sutures are applied, so healed marks are almost invisible.
What diet do I need to follow?
The diet shifts in stages — liquid, then soft, then solid food. Protein is the priority, while high-calorie, fatty food is limited.
What types of bariatric surgery are there?
The four main types of bariatric surgery at City Medical Centre are sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is matched individually to BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
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.
Do I need to take vitamins after surgery?
Yes, after bariatric surgery vitamins are a must. The altered digestive anatomy reduces absorption of some nutrients, which makes regular vitamin and mineral supplements a permanent 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.
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Why do diets fail? The body fights back: metabolism slows, appetite grows, and lost kilos return. When diet changes and medication cannot fundamentally improve the situation, surgery becomes the effective way out. Vadodara residents who have tried diets, fasting and pills for years without a lasting result are exactly the patients for whom bariatric operations are intended.
The work-up is done in one building with its own lab, ultrasound and gastroscopy, so preparation is quick and without queues. After laparoscopic surgery, the patient stays under observation for 1 to 5 days depending on the extent of the operation. Within the first hours you may sit up, stand and drink. Most Vadodara patients are up and moving on day one.
Everything needed for the result is combined in one package, with no hidden fees and no surprises. For patients from Vadodara, 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!