Surgery, Medication, or Neither — Assessed Properly First

Sleeve gastrectomy, gastric bypass, GLP-1 medication and endoscopic options — chosen after a full metabolic assessment, supported for years, not days.

Bariatric surgery is one of the most effective treatments in medicine, and it fails constantly — not because the operation was wrong, but because it was all that was offered. Weight regain and nutritional deficiency are the predictable result of surgery sold as a package with a flight and a hotel and nothing after. Here, a bariatric surgeon, an endocrinologist, a dietitian and a psychologist work as one team. Sometimes the answer is surgery. Sometimes it’s GLP-1 medication. Sometimes it’s treating your sleep apnoea or fatty liver first. What matters is that the decision follows the assessment, not the other way round.

Ready to Take the Next Step?

Why Florence Nightingale for Weight Management & Metabolic Health?

A hospital, a surgeon, a diagnosis. Then a transplant — if a transplant is actually the answer.

Bariatric surgeons, endocrinologists, dietitians and psychologists working as one team, before and long after surgery
Full metabolic work-up on-site: diabetes, thyroid, liver, sleep apnoea screening and cardiac risk
Laparoscopic sleeve gastrectomy and gastric bypass in a JCI-accredited hospital, ICU available if needed

GLP-1 medical weight management offered as a genuine option, not a consolation prize
Structured long-term follow-up — scheduled reviews, blood monitoring, reports for your own doctor
Full international coordination: visa invitation letter, transfers, accommodation, and interpreters

Treatment Options at Florence Nightingale

Medical Weight Management & GLP-1 Treatment

Supervised treatment with GLP-1 medication such as semaglutide or tirzepatide, alongside a diet. Effective and appropriate for many patients — with an honest conversation about long-term use and what happens if you stop.

Laparoscopic Sleeve Gastrectomy

The most common bariatric operation worldwide. About 80% of the stomach is removed, cutting both capacity and the hunger hormone it produces. Typically 2–3 nights in hospital.

Gastric Bypass (Roux-en-Y)

Reduces the stomach and reroutes part of the small intestine, often the better choice for significant reflux or type 2 diabetes. Lifelong vitamin supplementation isn’t optional afterwards.

Metabolic Surgery for Type 2 Diabetes

Surgery chosen primarily to improve blood sugar control rather than weight alone. Many patients see real improvement, and your endocrinologist gives you an honest estimate of the odds rather than a promise.

Revisional Bariatric Surgery

Conversion or revision after a previous procedure — for weight regain, reflux or complications. More demanding than first-time surgery, and assessed carefully.

Body Contouring After Weight Loss

Arm, thigh and body lifts once your weight has been stable for several months — increasingly requested by patients who’ve lost significant weight on GLP-1 medication.

Type 2 Diabetes & Insulin Resistance

Full endocrine management — medication, insulin where needed, continuous glucose monitoring and complication screening.

Metabolic Syndrome & Fatty Liver (MASLD)

Managing the cluster that usually travels with excess weight: high blood pressure, high cholesterol, insulin resistance and fatty liver.

Psychological Support & Eating Behaviour

Assessment and support around emotional eating and the psychological adjustment after rapid weight change — part of the programme, not an optional extra.

How We Decide What Fits

BMI & Comorbidity Thresholds

Broad guidelines are a starting point; the full metabolic work-up is what actually confirms eligibility.

GLP-1 vs. Surgery

Reflux severity, diabetes duration, insulin reserve and how much weight loss you need shape whether medication, surgery, or both in sequence makes sense.

Pre-Operative Liver Shrinkage Diet

A short low-calorie diet before surgery shrinks the liver and makes the operation safer; skipping it is a common reason surgery gets delayed on the day.

Sleeve vs. Bypass

Reflux severity and diabetes status usually settle this more than personal preference does.

Vitamin & Mineral Monitoring After Bypass

Which deficiencies get checked, how often, and why skipping this causes damage that’s often irreversible.

What to Expect as an International Patient

Before You Arrive

Share your weight history, diagnoses and any previous procedures
Free consultation with the bariatric and metabolic team
A written recommendation — surgical, medical, or something else first

Arrival & Assessment

Full metabolic and anaesthetic work-up on-site
Consultations with surgeon, endocrinologist, dietitian and psychologist
Plan confirmed with an interpreter present

Surgery & Stay

Laparoscopic surgery with dedicated anaesthesiology
Early mobilisation within one week
Staged eating plan under dietetic supervision

Follow Up & Return Home

First wash supervised by our team before you fly
Medical treatment plan for ongoing hair loss, where relevant
Remote reviews through the 12-month growth cycle

Proof You Can See

35+ years of clinical experience across the Group, with around 20,000 operations performed each year
JCI-accredited since 2013, now in its fifth accreditation cycle
Ratings: 5/5 on Bookimed, 4.7/5 across 6,621 patient responses
Multilingual coordinators — English, Arabic, Russian, French, German, Romanian, Serbian and more
Direct billing and pre-authorisation with major international insurers

We’ve worked with patients from 100+ countries — no case too simple or complex.