beforeafterIrina, 26
Bariatric surgery
Bariatric surgery
$3,600
$4,800 · First consultation — Free
before
after
Message our coordinator
Free online consultation · Reply within 15 minutes
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
Results
These are real patients treated at the clinic.
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
beforeafterBariatric surgery
Comparison
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.
A smaller stomach volume

Discounted price
$3,600 $4,800
The stomach is made smaller and food is rerouted

Discounted price
$4,000 $5,200
These figures on benefits and recovery are method averages, given as a guide. Your anatomy and personal features decide the extent of surgery and recovery, which the surgeon confirms at the consultation.
Book a consultationOur clinic
Up-to-date equipment, comfortable rooms and attention to each patient

Our team will reply to your questions and help you choose a consultation time
Get a consultationThe decision on surgery is made together with the surgeon after a consultation and check-up.


Not sure which column you belong to?
Drop us a line on Telegram — our coordinator will tell you whether you are a candidate for bariatric surgery. The surgeon consultation is free, with no obligation to have surgery.
Find out if it suits me
Prices
When your plan is prepared, the cost is named at the consultation and locked in the contract.
Discounted price
A smaller stomach volume

$3,600$4,800
Discounted price
Losing weight by changing the food route

$4,000$5,200
Free
Examination by the surgeon and a personal treatment plan

Free
the surgery price is set
and written into the contract
Your doctor assesses your health, discusses your goals and chooses the appropriate bariatric surgery method. The consultation gives you the cost, which is fixed in the contract.

Message our coordinator
Free online consultation · Reply within 15 minutes
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
price
All in one package, from the preparation stage to 12 months of support — and no extra fees.Everything from surgery preparation
to support over 12 months.
The process
A treatment plan we agree on, monitoring in the hospital and support for one year.
1The doctor evaluates your health, talks through your goals and orders the tests needed to select the right bariatric surgery method.
2We reserve a surgery date for you: the deposit can be paid by card at the clinic or online by bank transfer. The terms are fixed in the contract for medical services
3Before the operation you have blood and urine tests, an ECG, an ultrasound and a gastroscopy, and see specialists. The doctor gives you the exact list at the consultation.
4Using the chosen method, the surgeon performs the bariatric surgery under general anaesthesia. Once it is over, the medical team monitors the patient.
5After 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.
6The 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.
The doctor explains how the surgery will go and draws up a plan at the consultation

There is no fee for the consultation, is held before surgery and carries no obligation.
Book a consultation
Doctors

27 years of experience
Lead bariatric surgeon
Surgeon

9 years of experience
Bariatric surgeon
Surgical oncologist
Your surgeon performs the operation and stays with you from the first consultation to the result.
You start with a free consultation with our patient care manager, who calculates your BMI, explains the methods and books you in with the surgeon.
Book a consultationCoordinators
We are with you at each stage
Your first contact at the clinic — from your first message to the consultation
Specialist in patient care
Answers any questions before your first consultation and helps you choose a suitable date
Stays with you before and throughout your stay, from booking until discharge
Specialist in patient care
Stays in touch during your clinic stay and helps you prepare for surgery
By your side from discharge to your final check-up during recovery
Specialist in patient care
Keeps in touch as you recover and books your surgeon follow-up visits
Advantages

The method we choose is the best one for your health, lifestyle and goals — and our team stays with you throughout.

Our help covers adapting to new eating habits, tracking your results and maintaining them.

Better well-being, a higher quality of life and steady weight loss.

Respecting your time, we are available 24/7, offer easy booking and a personal approach, and adapt to your pace.

After the consultation the surgeon selects the method, and you get a transparent price — no hidden fees, no surprises on the road to your result.
FAQ
Experienced bariatric surgeons perform the bariatric operations at the clinic:
Send us a message to have our coordinator contact you shortly and book your consultation; the bariatric surgeon consultation costs nothing.
Surgery is prescribed only when clear criteria are met
The main way to assess the degree of obesity is BMI. It is body weight (kg) divided by height squared (m²). Generally, surgery is justified with BMI above 40, or above 35 combined with serious related conditions. Lower values may sometimes be considered for surgery too, when non-surgical measures have failed.
The two are often mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies the body's outer contours; it does not treat obesity or affect metabolism.
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.
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.
In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting high-calorie, fatty food.
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, vitamins are essential after bariatric surgery. As digestive anatomy changes, the body absorbs certain nutrients less well, so regular vitamin and mineral supplements become a lasting part of the patient's life.
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.
Prices are in US dollars; the amount in brackets is an approximate conversion to LYD at the rate of 02.10.2026. The final price is fixed in your contract.
Prices start from $3,600 (≈ LYD 23,500). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
General anaesthesia, a personal coordinator from day one, monitoring in the hospital and support for one year.
The hospital stay is 1–5 days, depending on the method and how you feel. Office work is possible after 2–4 weeks.
Yes. The first consultation is free and does not oblige you to anything. You can start online by sending a message to the coordinator.
Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.
By messaging us, you agree to our Privacy Policy
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 Zawiya should know that it requires lifelong vitamin and mineral supplements.
Eating changes in stages. A staged diet lasts 1–2 months, moving from liquid to soft to solid food so the stomach can adapt, with the focus on protein and limited high-calorie, fatty dishes. Following specialist advice, patients lose on average 10% of excess weight per month. Those from Zawiya build stable eating habits that keep the weight from returning.
What sets this programme apart is a result guarantee written into an official contract: weight loss is fixed legally, not just in words. Surgeons have 9–27 years in the field and work as a permanent team. Zawiya residents can tick the situations that sound familiar on the page and then check their case for free with a surgeon.
Well-known people who spoke openly about this operation, in their own words.
Al Roker and gastric bypass: twenty years of talking about it honestlyAl Roker had gastric bypass surgery in March 2002 and has talked about it for 20 years. His words, how the operation works and what recovery involves.
Did Billy Gardell have bariatric surgery? Yes — and he says it saved his lifeThe Mike & Molly star had bariatric surgery in 2021 after a diabetes diagnosis. His quotes on the decision, the 100-pound loss and his children.
Did Graham Elliot have weight-loss surgery? Yes, and he did it for his familyChef Graham Elliot had weight-loss surgery in 2013, saying it was what he needed to do for his family. His words, the operation and recovery.
Did Mama June have a gastric sleeve? Yes — in her own wordsJune 'Mama June' Shannon had a gastric sleeve in May 2015. Her quotes on the 550-pound start, the regain and starting over.
Did Randy Jackson have gastric bypass surgery? Yes, and he still talks about maintaining itRandy Jackson had gastric bypass surgery in 2003 and lost 114 pounds. His own words, how the operation works today and what recovery involves.
Remi Bader and her weight-loss surgery: what she actually saidRemi Bader said in 2023 she had weight-loss surgery removing 80% of her stomach and lost 140 lbs. What she said, how the operation works, and recovery.What patients write after this operation. Reviews are translated from the original language.
Irina, 26
For a long time I doubted whether to go ahead with surgery, but after the consultation I felt much calmer. Andrey Georgievich explained in detail how gastric bypass is done, what to expect after the operation and how recovery would go. I especially liked that they talked to me calmly and without pressure. I am now gradually getting used to my new way of life and I am very glad I took this step.
Bariatric surgery
Doctor: Andrey G. Ugay
Angelina, 22
For me the hardest part was deciding to have the operation. At the consultation Ruslan Sergeyevich answered all my questions in detail and explained the specifics of sleeve gastrectomy and recovery. After the operation I always understood what I was doing and why. Thank you to the doctor and the whole team for their attentiveness.
Bariatric surgery
Doctor: Ruslan S. Menzulin
Anna, 31
For a very long time I tried to deal with my excess weight on my own, but I did not get the result I wanted. After the consultation with Andrey Georgievich I finally understood what to do next. I came through the operation well, and my recovery was supervised by the doctors. It was important for me to feel that I was not left alone after surgery.
Bariatric surgery
Doctor: Andrey G. Ugay
Veronika, 25
Before the operation I had many fears, mostly of the unknown. Ruslan Sergeyevich explained every stage of treatment in detail and answered even the simplest questions. Thanks to that I felt much more confident. I keep following the recommendations and I am gradually seeing the changes I had the operation for.
Bariatric surgery
Doctor: Ruslan S. Menzulin
Valentina, 23
The decision to have bariatric surgery was not easy for me. I worried both about the operation itself and about how my life would change afterwards. At the consultation Andrey Georgievich explained everything in detail, so little by little my fear turned into confidence. What matters most to me now is the result and the chance to treat my health and lifestyle differently.
Bariatric surgery
Doctor: Andrey G. Ugay
Anna, 27
I am very grateful to Ruslan Sergeyevich for his attentiveness. Before the operation I had a huge number of questions, and I got a clear answer to every one of them. After the operation it was also clear which recommendations to follow and how to eat. It was important to me that the doctor stayed in touch and I felt supported at every stage.
Bariatric surgery
Doctor: Ruslan S. Menzulin
Anyone in Zawiya who has tried diet after diet knows the pattern of rapid loss followed by slow return. Bariatric surgery changes the pattern, but it does not shorten the road. On average a patient loses about ten per cent of the excess weight each month, and the final result is reached in one and a half to two years, with stable eating habits preventing the weight from returning. Ask your coordinator to explain that arc before anything else, because a person who expects two weeks will be disappointed in month three.
The first stage is short. In the first hours after the operation you may sit up, stand and drink fluids. Then comes observation at the clinic for one to five days, depending on the extent of the surgery and any related conditions. A patient with well-controlled health may stay at the lower end of the range, while someone with diabetes, high blood pressure or breathing problems during sleep may need longer. The number is not a measure of success or failure; it is the team's judgement about safety.
After that, the work is yours. Staged eating over one to two months moves you from liquids to soft food and then to solids, so that the stomach can adapt. Return to office work comes after two to four weeks, and heavier physical work after about a month and a half. None of this is complicated, but all of it depends on following the plan in the order it was given. A patient who jumps ahead because a spoonful went down easily is the one who rings the coordinators at midnight.
Zawiya was founded around 1250 by Abd al-Nabi al-Sanhaji, and it still lives on slow trade between the coast and the road that links Tripoli with the Tunisian border. People here are used to waiting for a good outcome, and the idea suits this operation. Think of it as joining a two-year programme rather than booking a procedure. Write down the dates for follow-up conversations now, and share them with whoever eats with you, because your meals will change theirs too.
The coordinators on Telegram and Telegram are available at all hours, and the first thing they want from a person in Zawiya is a clear file. Give your height and your current weight, your highest and lowest weight in the past ten years, every diet you have tried and how long it lasted, and any diagnosis you carry, especially diabetes, blood pressure, sleep apnoea or heart problems. List all your medicines with doses, earlier operations, and the weight history of close relatives. Add two full-body photographs in daylight, front and side.
Tell the truth even where it is uncomfortable. If you stopped a diet after a week, say so. If you drink sweet fizzy drinks all day, say so. The surgeon does not read the file in order to judge you, but to build a plan that fits what really happens in your kitchen. A file that is cleaned up before sending produces a plan for a different person, and you will be the one living with the gap between the two.
Students and staff at the University of Zawiya, founded in 1988 with thirty-two faculties, often study long hours and eat at irregular times. If this describes you, add a short description of a typical day: when you wake, when you eat, what you drink, how you commute. That description helps the coordinator guess what the first weeks after surgery will look like for you, and where the hardest habit will be. The details that feel too ordinary to mention are usually the ones that matter.
The first reply will give a provisional view of which type of operation might suit your case, which tests you may need and what you should prepare, without a promise about the amount of weight you will lose. Read it at home with the people who share your table, because surgery changes the household as well as the patient. Be suspicious of any offer that promises a figure before it has seen your tests. It is speaking to your hopes, not to your medical history.
Friday and Saturday are the weekend in Libya, and on those days families sit down together for long meals in which hosts press more food on their guests. After bariatric surgery that pressure needs an answer ready in advance. Say it kindly and say it the same way every time: you are following a medical eating plan, and a small cup is enough. If a brother or sister understands, ask them to back you up. Hospitality that overrides a doctor's plan is not hospitality at all.
Staged eating means that the first weeks are liquid, then pureed, then soft, then solid, over one to two months. Write the stages on a card, give a copy to whoever cooks in your house, and stick to the order even when you feel hungry for something harder. Moving ahead of the schedule does not speed up the recovery; it irritates a stomach that is still healing. Ask the coordinator which soups, broths and drinks are suitable for each stage so you are not guessing in the kitchen.
Summer needs special care. July averages 32.3 degrees Celsius by day and August 33.0, with minimum temperatures of 19.9 and 20.8, and no rain in either month. A small stomach cannot hold a large glass of water at once, so sip steadily through the day, carry a bottle, and report dizziness or a very dry mouth. Avoid sweet drinks that seem refreshing but undo the plan. Planning your sips is easier than rescuing yourself from dehydration later.
Winter is kinder to the patient. January averages 17.3 degrees by day and 6.7 by night, February 18.8 and 7.7, and December brings 61 millimetres of rain out of the year's 252. Warm food is welcome on cool evenings, and it is better to ask for soft, gentle soups suited to your stage than to avoid warmth altogether. Rich, spicy and oily dishes wait until the doctor says otherwise, and the card on your refrigerator door is a better guide than a cousin's advice.
Return to office work after two to four weeks is realistic for many patients, while physical work usually waits about a month and a half. Zawiya has a port with maritime commercial sites, offices and a university, so jobs differ. Tell the coordinator precisely what you do: how long you stand, whether you lift, whether you drive between sites. The surgeon can then choose a date that fits your day. If your work is heavy, ask your employer in advance for a temporary change in tasks.
Movement is part of treatment. Start with short walks around the house, lengthen them as your strength returns, and add gentle exercise with the team's agreement. The city offers places for it: a long Mediterranean shoreline, the Judaim forest and beach as a natural area, and the Olympic stadium as the central sports ground. Choose a mild hour, take someone with you in the first weeks, and bring water. Dizziness after long rest is common, and company is a simple safeguard.
Many people in Zawiya train at the Olympic club, which was founded in 1947, and the temptation is to return at full speed because the weight is dropping. Resist it. Begin at half of what you used to do, listen to your body, and ask the coordinator before adding anything new. A person who hurries back to heavy lifting may feel strong and still strain tissues that are healing. A patient routine in the first months will carry you further in the second year.
Weigh yourself once a week, in the morning, on the same scale, and send the figure with a monthly photograph. The weight will not fall in a straight line. There will be weeks of steady loss and weeks when nothing seems to move, and the team handles those pauses by adjusting the plan, not by starving you. Looking at photographs side by side shows change that numbers hide. Keep a short note of how you feel as well, because energy matters as much as kilograms.
A serious offer states the surgeon's full name and exact specialty, the type of operation, the expected stay at the clinic, the follow-up programme over the one and a half to two years, and what happens if you need further treatment. Ask for the same list from every source and lay the answers side by side. If a source speaks warmly about your future but gives you no names and no follow-up, it has offered mood, not information. Mood is not a plan, and a plan is what you need.
Be careful with stories that circulate in town, such as the person who cured diabetes in a week or the neighbour who needed no follow-up whatsoever. Ask who performed the operation, where, with which licence, and what happened afterwards. Real cases survive these questions. If a story relies on you not asking, you already know what to think of it. Meanwhile your own file, with your own tests, is a better source than anyone's memory of a cousin's cousin.
Check the surgeon through the Libyan health authority that registers doctors. If you cannot find a clear route to do so, ask the coordinator for documents showing the surgeon's name, specialty and licence before you agree to anything. This is not rudeness. Tradition in Zawiya, a town named after its Quran schools, has always respected the value of a chain of authority. Your surgeon should be able to show his own.
Finally, decide at home. Gather the written answers, show them to the person you trust most, and write down what you will not compromise on, whether that is follow-up, anaesthesia or the name of the surgeon. If anyone pushes for a quick booking because an opportunity is about to close, step back, since surgery is not a sale. When the answers are complete and the family understands the next two years, you are ready, and the coordinators will be there at whatever hour you need them.
Send your height and weight, your highest and lowest weight in ten years, the diets you tried, diagnoses, medicines with doses, earlier operations and two full-body photographs in daylight. The coordinators on Telegram and Telegram reply at any hour with a provisional view and a list of anything missing.
Observation lasts one to five days, depending on the extent of the surgery and related conditions. In the first hours you may sit up, stand and drink fluids. The number of days is set by your medical situation, so ask the coordinator what applies to you.
Return to office work comes two to four weeks after surgery, and physical work after about a month and a half. Tell the coordinator exactly what your job involves, and ask your employer for lighter duties in the meantime if you carry or lift.
Eating is staged over one to two months, from liquids to soft food and then to solids, so the stomach can adapt. Write the stages on a card and follow them in order. In hot months sip water steadily through the day instead of drinking large amounts at once.
On average about ten per cent of the excess weight each month, though individuals vary. Do not treat the figure as a daily target. Weigh yourself once a week on the same scale and send the result with a monthly photograph.
The final result comes in one and a half to two years, and stable eating habits prevent the weight from returning. That is why follow-up, tests and advice matter. Ask the coordinator to describe the follow-up plan before you agree to anything.
Say kindly that you are on a medical eating plan and that a small cup is enough, and ask a trusted relative to support you at the table. Good hospitality allows for a polite refusal, and your health comes before pleasing a host.
Ask in writing for his full name, exact specialty and licence, and check them through the Libyan health authority that registers doctors. If the route is unclear, ask the coordinator for the documents, and be wary of an offer that does not name the surgeon or describe follow-up.
Page medically reviewed by Andrey G. Ugay, lead bariatric surgeon. Review date: .