Medical assessment
History, BMI, medicines and previous procedures

Rather than selling one operation, we separate 16 current and historical procedures by clinical status and compare appropriate options with Dr Kenan Afilitak and the bariatric team.
These are consented examples from gastric sleeve patients. Starting weight, health and follow-up change individual outcomes.



Results vary between people and cannot be guaranteed. Images do not replace a medical suitability assessment.
View all resultsHistory, BMI, medicines and previous procedures
Suitability and alternatives with Dr Kenan
Tests, admission and discharge scope
Interpreter, hotel and transfer details
Nutrition, reviews and warning signs
For clinically accepted primary cases, the published package combines surgery, anaesthesia, 2 hospital nights, 1 hotel night, tests, medicines, private transfers, interpreter support and one year of dietitian follow-up with Aylin Demir.
Sleeve, Roux-en-Y, mini bypass and other established surgical routes are compared against anatomy, reflux, metabolic health and lifelong follow-up needs.

A laparoscopic procedure that creates a smaller, sleeve-shaped stomach.
Explore treatment
A small gastric pouch combined with a carefully planned intestinal bypass.
Explore treatmentA one-anastomosis bypass with restrictive and metabolic effects.
Explore treatmentAn adjustable device placed around the upper stomach; now less commonly selected.
Explore treatmentA stomach-folding technique that does not remove gastric tissue.
Explore treatmentMore complex options including SADI-S, duodenal switch, transit bipartition and ileal interposition are considered only for selected cases.
A sleeve-based metabolic procedure with an additional intestinal pathway.
Explore treatmentA sleeve combined with a single-anastomosis duodeno-ileal bypass.
Explore treatmentAn advanced bariatric procedure combining sleeve and intestinal bypass.
Explore treatmentA sleeve-based metabolic operation that creates a second intestinal pathway.
Explore treatmentAn advanced metabolic operation involving repositioning a segment of ileum.
Explore treatmentGastric balloon, ESG and other endoscopic options avoid surgical skin incisions, but effect, duration and evidence vary between treatments.

A temporary, non-surgical tool supporting portion control and behaviour change.
Explore treatmentInternal endoscopic sutures reduce stomach volume without surgical incisions.
Explore treatmentAn endoscopic injection approach with temporary effects and limited evidence.
Explore treatmentThese methods are not offered as new treatments. They are documented for safe assessment and revision discussions after historical operations.
A device-based legacy approach included here for informed comparison.
Explore treatmentA historical restrictive operation, now largely replaced by modern procedures.
Explore treatmentA discontinued historical bypass documented for patient education.
Explore treatmentStart with a proper assessment, not a procedure name.Let the surgeon and bariatric team compare the options for you.
BMI is a starting point, not a procedure selector. Medical history, reflux, metabolic health and capacity for follow-up also matter.
Enter your height and weight for a screening BMI estimate.
BMI is a screening measure, not a diagnosis or a decision about surgery. Medical history, related conditions, nutrition, previous weight-management attempts and surgeon assessment are also required.
What to know about suitability, price, clinician and aftercare before the first consultation.
Procedure choice is not based on BMI alone. Reflux, diabetes, previous surgery, medicines, nutrition, goals and capacity for long-term follow-up are reviewed with the surgeon and bariatric team.
IOC’s published package price is £1,800 for clinically accepted primary gastric sleeve cases. Final scope is confirmed in writing after medical assessment.
Hospital time, tests, devices or materials and follow-up can vary for bypass, advanced metabolic and endoscopic procedures. An itemised quote follows assessment.
Bariatric and metabolic surgical assessments are planned with Dr Kenan Afilitak and the relevant multidisciplinary team. The responsible clinician, hospital and follow-up plan are confirmed in writing before booking.
Nutrition stages, vitamin and medicine guidance, blood-test timing, urgent warning signs and coordination contacts are defined in the written aftercare plan for the chosen procedure.
Complete the form and our medical coordination team will contact you on WhatsApp. Final suitability is decided only after surgeon review and appropriate testing.
This peer community—something many clinics do not offer—brings more than 300 real post-operative patients into the same conversation as people researching gastric sleeve surgery.