guarantee
Gastric Sleeve and Bypass in Washington D.C.
for good —
14,000 CMC patients already live in a changed body. The outcome is recorded in an official agreement, with legal force behind it.
patients
experience
from excess weight
rating
Gastric Sleeve and Bypass in Washington D.C.
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
Zero hidden fees, zero surprises. One package covers the entire path.
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
No lasting outcome from diets and medication across 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 outcome from diets and medication across several years.
When is bariatric surgery justified?
Surgery is prescribed only when clear criteria are met
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.
Key factors
- The patient's body mass index (BMI)
- Overall health and any related chronic conditions
- Failure of previous attempts to lose weight by conventional 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
- Failure of previous attempts to lose weight by conventional means
The role of body mass index (BMI)
BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options 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 consult a clinic doctor if you have 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 is used for a BMI of 35 to 45; average loss is 60–70% of excess weight.
Specifics: durability is lower than with bypass operations. If the diet slips, especially with high-calorie drinks and liquid food, lost weight may come back.
Roux-en-Y gastric bypass
The surgeon shapes a small pouch, 50–70 ml, from the top of the stomach and routes it directly to the small intestine. Food intake drops and calorie absorption decreases as food covers a shorter distance in the gut.
Effectiveness: known as the “gold standard” for a BMI over 45–50 combined with type 2 diabetes. Excess weight loss hits 75–85%.
Specifics: the result is more durable than with other bariatric techniques. Diabetes, hypertension and similar related conditions often enter remission. The changed digestive anatomy means lifelong vitamin and mineral supplements.
Mini gastric bypass (MGB)
An upgraded take on the classic bypass. In contrast to the standard method, only a single connection (anastomosis) is made between the small stomach and the small intestine. Being simpler, the technique is easier on the patient and shortens recovery.
Effectiveness: similar to the classic Roux-en-Y bypass; up to 75–80% of excess weight is lost.
Specifics: a faster operation and shorter recovery. The procedure can be undone technically, but there is a bile reflux risk from the single anastomosis.
Single anastomosis duodeno-ileal bypass (SADI-S)
As a modern combined technique, SADI-S brings together the benefits of sleeve gastrectomy and intestinal bypass. Its two stages: making the stomach into a narrow tube, then rerouting the small intestine so the majority of it is excluded from active digestion.
Effectiveness: among the most powerful bariatric operations — excess weight loss reaches 80–90% with a lasting result.
Specifics: appetite falls as the smaller stomach loses the zone that produces ghrelin, while food rerouted around part of the intestine yields fewer absorbed calories. Right for 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 journey begins with a surgeon consultation: medical history, method choice, recovery planning
Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a 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
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Lab tests
CBC and urinalysis, biochemistry, HbA1c and coagulation panel (a 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
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.
Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
A month before, quit smoking, reduce physical activity and avoid stress.
The day before
A light meal in the evening is the last; fluids stop 3–4 hours prior.
Our specialists
Experienced surgeons in bariatrics who care about patient health
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
The country's most prolific surgeon in SASJ operations. A member of the national Society of Bariatric Surgeons' expert council and a frequent speaker at national and international congresses.
City Medical Centre bariatric surgery centre
— your path
to confidence and harmony
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.
A method matched to your goal
Choosing the surgical method is individual for each patient at our clinic. Doctors first review your health, history of weight and related conditions and then propose the most suitable surgical option.
Support that stays in touch
The City Medical Centre team is with you after surgery too. For the full first year, specialists track weight loss, keep an eye on your tests and answer every diet and recovery question.
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
No shuttling between clinics. Your full work-up happens at our centre, from our own lab to ultrasound and gastroscopy. Preparation is quick, there are no queues, and it is all in one building.
Recovery after bariatric surgery
Each patient recovers differently, but minimally invasive laparoscopic techniques keep rehabilitation as brief 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
You may sit, stand up and drink fluids within the first few hours after surgery.
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
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
Important! City Medical Centre specialists supervise your recovery and support you psychologically and medically 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
You may sit, stand up and drink fluids within the first few hours after surgery.
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
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
Doctors prescribe a staged diet for 1–2 months, from liquids through to solids, for the stomach to adapt.
Pace
By following the specialists' advice, patients lose 10% of excess weight per month on average.
Stabilization
The end result is achieved in 1.5–2 years, when the patient already has stable eating habits that prevent weight regain.
Important! City Medical Centre specialists supervise your recovery and support you psychologically and medically 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?
Using modern laparoscopic technique, we perform the operation via 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, leaving marks that are nearly invisible after healing.
What diet do I need to follow?
You move through diet stages from liquid food to soft and finally solid. Protein comes first, and high-calorie, fatty food is restricted.
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?
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 a must after bariatric surgery. Changes in digestive anatomy mean the body absorbs some nutrients less effectively, so regular vitamin and mineral supplements are part of the patient's life for good.
Can the weight come back?
Regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, no high-calorie drinks and regular follow-up visits with City Medical Centre specialists make the difference.
Prices
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Service
Discounted price
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Other services at our clinic
Bariatric surgery in Washington D.C.: methods, stages and package
Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in Washington D.C. should know that it requires lifelong vitamin and mineral supplements.
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 Washington D.C..
Before spending on another diet, get a professional assessment. A short no-cost talk with the surgeon, about a quarter of an hour, shows whether your BMI and related conditions justify surgery. If they do, one package takes you through tests, the operation, care in the ward and follow-up, with the weight loss result set in a contract. Residents of Washington D.C. can apply online.
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