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Mini Gastric Bypass

Welcome to Medicoist, your gateway to world-class medical services, and a proud affiliate of Safak Hospitals Group. In this article, we aim to shed light on the transformative journey of mini gastric bypass surgery in Turkey, and why it may be the ideal choice for international patients seeking effective weight loss solutions.

As the global demand for bariatric surgeries continues to rise, Medicoist, in collaboration with Safak Hospitals Group, offers a comprehensive solution for individuals considering mini gastric bypass surgery abroad. Turkey has become a sought-after destination for medical tourists, and here’s why:

  • Affordable Mini Gastric Bypass Surgery: Medicoist provides cost-effective mini gastric bypass surgery options without compromising on quality. Patients can save significantly on their medical expenses compared to many Western countries.
  • World-Class Healthcare Facilities: Safak Hospitals Group is renowned for its state-of-the-art facilities and cutting-edge technology. Our clinics are equipped with the latest advancements in medical science, ensuring top-notch patient care.
  • Experienced Medical Professionals: Our team of highly skilled and experienced surgeons specializes in mini gastric bypass procedures. They have a track record of successful surgeries and a commitment to patient safety.
  • Patient-Centric Approach: At Medicoist, we prioritize the well-being and comfort of our patients. From initial consultations to post-operative care, we offer personalized support every step of the way.
  • Seamless Experience: We understand that traveling abroad for medical treatment can be daunting. Medicoist provides assistance with travel arrangements, accommodation, and language support, ensuring a hassle-free experience.
Videoyu oynat
Operation Time
2-3 Hours
General Anesthesia
3 Day
Recovery Time
1-2 Week
Back to Work
3 Day

What is Mini Gastric Bypass Surgery?

Mini gastric bypass surgery, also known as mini bypass surgery or minigastric bypass, is a highly effective bariatric procedure designed to help individuals achieve substantial weight loss and improve their overall health. This surgery is particularly suitable for those struggling with obesity and related health issues.

The primary goal of mini gastric bypass surgery is to reduce the size of the stomach and reroute the small intestine to create a new digestive pathway. This results in restricted food intake and altered nutrient absorption, leading to significant weight loss over time.

Brief History and Evolution of the Procedure

Mini gastric bypass surgery has evolved over the years, building upon the principles of traditional gastric bypass procedures. Here is a brief overview of its historical development:

  • Origins: The concept of gastric bypass surgery dates back to the 1960s when surgeons first explored ways to surgically induce weight loss. Early procedures, such as the Roux-en-Y gastric bypass, laid the foundation for mini gastric bypass.
  • Mini Gastric Bypass Emergence: The mini gastric bypass, a simplified and effective variation of gastric bypass surgery, gained prominence in the early 2000s. It was designed to reduce the complexity of the procedure while maintaining its weight loss benefits.
  • Refinement and Advancements: Over the years, mini gastric bypass surgery has undergone refinements and improvements, leading to safer and more efficient techniques. These advancements have made it a popular choice for patients seeking sustainable weight loss.

Why Choose Medicoist for Mini Gastric Bypass Surgery?

When considering mini gastric bypass surgery, choosing the right healthcare provider is crucial. Medicoist, in partnership with Safak Hospitals Group, offers a compelling choice for international patients for several reasons:

  • Expertise: Our team of experienced surgeons specializes in mini gastric bypass procedures, ensuring the highest standards of care and safety.
  • Advanced Facilities: Safak Hospitals Group is equipped with state-of-the-art technology and modern facilities to provide comprehensive medical services.
  • Affordability: Medicoist offers cost-effective solutions without compromising on quality, making it accessible to a broader range of individuals.
  • Personalized Care: We prioritize the well-being of our patients, offering personalized support from initial consultation to post-operative recovery.
  • Seamless Experience: Our commitment to ensuring a smooth journey for international patients includes assistance with travel arrangements and accommodation, ensuring a stress-free experience.

With this foundational knowledge, you can now explore the intricacies of mini gastric bypass surgery, including eligibility criteria, types of procedures, and the steps involved in the surgical process. Discover why this bariatric surgery is gaining popularity among those seeking sustainable weight loss solutions.

Who Needs Mini Gastric Bypass Surgery?

Mini gastric bypass surgery offers a ray of hope for individuals battling severe obesity and its associated health complications. Let’s delve into the criteria that identify candidates for this life-changing procedure and explore the health conditions that may find relief through mini gastric bypass surgery.

Identifying Candidates for Mini Gastric Bypass

  • Body Mass Index (BMI): Candidates for mini gastric bypass typically have a BMI of 40 or higher, indicating severe obesity. Additionally, individuals with a BMI of 35-39.9 may be eligible if they have obesity-related health conditions.
  • Prior Failed Weight Loss Attempts: Candidates often have a history of unsuccessful attempts at sustained weight loss through conventional methods like diet and exercise.
  • Obesity-Related Health Issues: Those with obesity-related health conditions such as type 2 diabetes, hypertension, sleep apnea, or joint problems may be suitable candidates.
  • Psychological Evaluation: Candidates undergo a psychological assessment to determine their readiness for the lifestyle changes required post-surgery.
  • Age and Overall Health: Age and general health status play a role in determining eligibility. Patients should be in relatively good health to withstand surgery.

Health Conditions That May Benefit from Mini Gastric Bypass Surgery

Mini gastric bypass surgery can have a profound impact on various health conditions, improving or even resolving them altogether:

  • Type 2 Diabetes: Many patients with type 2 diabetes experience significant improvements or remission after mini gastric bypass surgery. It can lead to better blood sugar control and reduced reliance on medications.
  • Hypertension: High blood pressure is often alleviated post-surgery, reducing the risk of cardiovascular complications.
  • Sleep Apnea: Patients with sleep apnea may see improvements in sleep quality and reduced dependence on continuous positive airway pressure (CPAP) devices.
  • Joint Pain: Excess weight can put strain on joints, leading to pain and limited mobility. Weight loss from the surgery can relieve joint pain and increase mobility.
  • Cardiovascular Health: Mini gastric bypass surgery can decrease the risk factors associated with heart disease, such as high cholesterol and triglyceride levels.
  • Fertility: Some individuals with obesity-related fertility issues may find that weight loss from the surgery improves their chances of conceiving.

Identifying whether you meet the criteria for mini gastric bypass surgery and understanding the potential benefits for your specific health condition are essential steps in making an informed decision about this procedure. Consultation with a qualified healthcare provider is the first and most crucial source of guidance on your journey towards a healthier, happier life.

Types of Mini Gastric Bypass Surgery

Mini gastric bypass surgery comes in various forms, each with its unique approach and benefits. Let’s explore the different variations, including the Omega Loop Mini Bypass, and consider the pros and cons of each type.

Mini Gastric Bypass (Standard)

  • Procedure: In the standard mini gastric bypass surgery, a small pouch is created near the top of the stomach, restricting food intake. The small intestine is then rerouted to this pouch, reducing calorie absorption.
  • Benefits: This procedure offers significant weight loss, improved comorbidities, and a relatively straightforward surgical approach.

Omega Loop Mini Bypass

  • Procedure: The Omega Loop Mini Bypass is a variation that involves creating a longer bypass limb, which further reduces nutrient absorption. It may be suitable for patients with severe obesity.
  • Benefits: Enhanced weight loss potential, especially for those with higher BMIs.

Pros and Cons of Each Type

Standard Mini Gastric Bypass:


Effective weight loss with long-term results.

Lower risk of nutritional deficiencies compared to more extensive bypass procedures.

Shorter surgical duration and potentially faster recovery.


May not provide optimal results for patients with very high BMIs.

Limited potential for adjustments post-surgery.

Possibility of reflux symptoms in some cases.

Omega Loop Mini Bypass:


Enhanced weight loss, making it suitable for patients with extreme obesity.

Potential for greater metabolic improvements.

Adjustable to some extent for tailored results.


Higher risk of nutritional deficiencies due to increased malabsorption.

Longer surgical procedure with a slightly extended recovery period.

Requires careful monitoring and supplementation to prevent deficiencies.

Choosing the right type of mini gastric bypass surgery depends on various factors, including your BMI, overall health, and specific weight loss goals. Consulting with a qualified bariatric surgeon is crucial to determine which variation is best suited to your individual needs. Remember that each type has its unique advantages and considerations, and the decision should be made in consultation with your healthcare provider to ensure the best possible outcome for your weight loss journey.

Requirements for Treatment Candidates

Ensuring that you meet the criteria for mini gastric bypass surgery is essential to determine if you are an eligible candidate. Let’s explore the criteria for eligibility and considerations related to pre-existing health conditions and medications.

Criteria for Eligibility

  • Body Mass Index (BMI): Candidates for mini gastric bypass surgery typically have a BMI of 40 or higher. Those with a BMI of 35-39.9 may also be eligible if they have obesity-related health conditions.
  • Weight Loss History: Candidates should have a documented history of attempting to lose weight through conventional methods such as diet and exercise without long-term success.
  • Health Conditions: Candidates often have obesity-related health issues, including but not limited to type 2 diabetes, hypertension, sleep apnea, or joint problems.
  • Psychological Evaluation: A psychological assessment is often required to ensure candidates are mentally prepared for the lifestyle changes following surgery.
  • General Health: Candidates should be in relatively good overall health to withstand the surgical procedure.

Pre-Existing Health Conditions and Medications

  • Type 2 diabetes: If you have diabetes, your healthcare provider will evaluate your current treatment regimen and how it may need to be adjusted after surgery.
  • Hypertension: Patients with hypertension may need adjustments to their blood pressure medications as weight loss can lead to improved blood pressure control.
  • Sleep Apnea: Individuals with sleep apnea may experience improved sleep quality and reduced reliance on continuous positive airway pressure (CPAP) devices after surgery.
  • Joint Problems: Weight loss from surgery can alleviate joint pain, and any medications or treatments for joint issues will be reviewed.
  • Psychological Health: Candidates should disclose any history of mental health conditions or eating disorders for appropriate evaluation and support.
  • Medications: Your healthcare provider will review all medications you are currently taking to determine if any need to be adjusted post-surgery.

It’s crucial to consult with a qualified bariatric surgeon who will thoroughly assess your eligibility based on these criteria and your specific health situation. Open and honest communication with your healthcare team ensures the best possible outcome for your mini gastric bypass surgery.

How Mini Gastric Bypass Surgery Is Performed

Mini gastric bypass surgery is a meticulously orchestrated procedure designed to promote significant weight loss and improve overall health. Let’s take you through a step-by-step explanation of the surgical process, highlighting the crucial stages involved.

Anesthesia and Incisions

The surgery begins with the administration of anesthesia, ensuring that you are comfortably asleep and pain-free throughout the procedure. Once you are under anesthesia, the surgeon will make small incisions in your abdomen. These incisions serve as access points for the surgical instruments.

Creation of a Small Gastric Pouch

The next step involves the creation of a small gastric pouch. During this phase, the surgeon carefully staples off a portion of your stomach, effectively reducing its size. This smaller pouch serves as the new stomach reservoir for food intake.

Re-Routing of the Small Intestine

Following the creation of the gastric pouch, the surgeon reroutes a section of the small intestine to connect to the newly formed pouch. This process is pivotal in ensuring that food bypasses a significant portion of the stomach and upper intestine, leading to reduced calorie absorption.

Closure of Incisions

Once the re-routing of the small intestine is complete, the surgeon meticulously closes the incisions made in your abdomen. Depending on the surgical approach chosen, these incisions may be very small in the case of laparoscopic surgery or larger for open surgery.

Laparoscopic vs. Open Surgery Options

Laparoscopic Mini Gastric Bypass

  • Procedure: Laparoscopic surgery involves making several small incisions through which a laparoscope and surgical instruments are inserted. This minimally invasive approach allows for quicker recovery and less scarring.
  • Advantages: Reduced post-operative pain, shorter hospital stay, and faster return to normal activities.

Open Mini Gastric Bypass

  • Procedure: Open surgery requires a larger incision and direct access to the surgical area. While it may be necessary for certain patients, it typically entails a longer recovery period and more noticeable scarring.
  • Advantages: Suitable for complex cases and allows the surgeon a more extensive view of the surgical site.

The choice between laparoscopic and open surgery depends on individual factors and the surgeon’s recommendation. Both approaches aim to achieve the same goal: significant and sustainable weight loss while minimizing risks and discomfort.

Understanding the step-by-step process of mini gastric bypass surgery provides insight into the surgical journey ahead. However, it’s essential to discuss the specifics of your procedure with your surgeon, as each surgery is tailored to the patient’s unique needs and circumstances.

Preparing for Mini Gastric Bypass Surgery

The journey towards a successful mini gastric bypass surgery begins well before the actual procedure. Proper preparation is crucial to ensure the best possible outcome and minimize potential risks. In this section, we will explore the essential aspects of getting ready for your surgery.

Dietary and Lifestyle Adjustments Before the Surgery

  • Weight Loss and Nutrition: Your healthcare provider may recommend a pre-surgery weight loss program to help reduce the size of your liver and make the surgery safer. This may involve a low-calorie diet or a liquid diet for a specified duration.
  • Healthy Eating Habits: Focus on adopting healthy eating habits that you can carry into your post-surgery life. This includes reducing sugary and high-calorie foods, increasing protein intake, and eating smaller, balanced meals.
  • Physical Activity: Engage in regular physical activity to improve your overall health and stamina. Even small increases in fitness levels can make a difference in your recovery.

Medical Evaluations and Tests

Your medical team will conduct a thorough evaluation of your overall health, reviewing your medical history and performing physical examinations. Blood tests, imaging studies, and other diagnostic tests may be conducted to assess your current health status and identify any potential risks. Your healthcare provider will review your current medications and may make adjustments as necessary to ensure they are compatible with the surgery and your post-operative care.

Psychological Readiness and Counseling

  • Psychological Evaluation: Many healthcare providers require a psychological evaluation to assess your readiness for the lifestyle changes that accompany mini gastric bypass surgery.
  • Counseling and Support: Consider participating in counseling or support groups to address any emotional or psychological challenges associated with weight loss and the surgery itself. This can provide valuable coping strategies and emotional support.

Preparing for mini gastric bypass surgery involves a holistic approach that encompasses your physical, nutritional, and psychological well-being. It is essential to follow your healthcare team’s guidance and recommendations throughout this preparation period. By making these necessary adjustments and adequately preparing, you set the stage for a successful and transformative surgical experience.

Risks Associated with Mini Gastric Bypass Surgery

While mini gastric bypass surgery offers numerous benefits in terms of weight loss and improved health, it is essential to be aware of the potential risks and complications that may arise during and after the procedure. Here, we will delve into some of these risks and emphasize the importance of discussing them with your healthcare provider.

Potential Complications and Side Effects

Infection: As with any surgery, there is a risk of infection at the incision sites or in the abdominal cavity.

  • Bleeding: Excessive bleeding during or after surgery is a possible complication that may require further medical attention.
  • Anesthesia Risks: Adverse reactions to anesthesia can occur, although they are relatively rare. Your anesthesia team will carefully monitor your condition throughout the procedure.
  • Blood Clots: Surgery can increase the risk of blood clots forming in the legs or lungs, which can be life-threatening if not detected and treated promptly.
  • Nutritional Deficiencies: Due to the alteration of the digestive system, patients may be at risk of nutritional deficiencies, including deficiencies in vitamins and minerals such as iron, calcium, and vitamin B12.
  • Dumping Syndrome: Some individuals may experience dumping syndrome, which involves symptoms like nausea, vomiting, diarrhea, and rapid heartbeat after consuming sugary or high-fat foods.
  • Gastroesophageal Reflux Disease (GERD): In some cases, mini gastric bypass surgery can lead to GERD, causing heartburn and discomfort.
  • Ulcers: Ulcers may develop in the newly created stomach pouch or the small intestine, leading to pain and potential bleeding.

Importance of Discussing Risks with Your Healthcare Provider

Understanding the potential risks associated with mini gastric bypass surgery is crucial for making an informed decision about your healthcare journey. It is essential to have open and honest discussions with your healthcare provider, including your surgeon and anesthesiologist, before the surgery.

Your healthcare team will assess your individual risk factors, provide guidance on risk mitigation, and ensure you are well-prepared for the procedure. They will also discuss steps to minimize post-operative complications and monitor your progress during the recovery period.

While the risks mentioned here are possible, it’s important to remember that many individuals undergo mini gastric bypass surgery with successful outcomes and experience significant improvements in their health and quality of life. Careful pre-surgery preparation and post-operative follow-up can help mitigate potential complications, making the procedure a valuable option for those seeking long-term weight loss and health benefits.

Clinic Precautions for Safe Surgery

When considering mini gastric bypass surgery, ensuring your safety and well-being is of utmost importance. Medicoist, in collaboration with Safak Hospitals Group, prioritizes patient safety by implementing stringent measures and ensuring that the surgical team meets the highest standards of expertise and qualifications.

Safety Measures Taken by Medicoist and Safak Hospitals Group

  • Accreditation and Certification: Medicoist’s affiliated clinics within Safak Hospitals Group are accredited and certified by recognized medical organizations and authorities. This ensures that the facilities adhere to strict safety and quality standards.
  • Experienced Surgical Team: Our surgical team, led by highly experienced and qualified bariatric surgeons, is dedicated to providing safe and effective surgical interventions. The surgeons have a track record of successful mini gastric bypass procedures.
  • State-of-the-Art Facilities: Medicoist clinics are equipped with state-of-the-art surgical technology and equipment, enhancing the precision and safety of the procedure.
  • Preoperative Evaluations: Patients undergo comprehensive preoperative evaluations, including medical assessments and diagnostic tests, to identify any underlying health concerns that may affect the surgery or recovery.
  • Anesthesia Expertise: Anesthesia is administered by experienced anesthesiologists who are skilled in managing patient comfort and safety throughout the surgical process.
  • Infection Control: Stringent infection control protocols are in place to minimize the risk of surgical site infections and other post-operative complications.

Surgeon’s Experience and Qualifications

  • Board-Certified Surgeons: Medicoist’s surgical team consists of board-certified bariatric surgeons who have completed specialized training in minimally invasive and bariatric surgery.
  • Extensive Experience: Our surgeons have performed numerous mini gastric bypass surgeries, demonstrating their expertise and proficiency in this field.
  • Patient-Centered Care: The surgical team at Medicoist prioritizes patient care and safety, providing personalized treatment plans tailored to individual needs and health conditions.
  • Continuous Education: To stay at the forefront of medical advancements, our surgeons engage in continuous education and training, ensuring that they offer the latest and safest techniques in mini gastric bypass surgery.

Choosing a reputable clinic and an experienced surgical team is crucial for a successful mini gastric bypass surgery. Medicoist, in collaboration with Safak Hospitals Group, is committed to providing a safe and supportive environment for patients seeking life-changing weight loss procedures. Your safety and well-being are our top priorities, and we are dedicated to helping you achieve your health and weight loss goals through the highest standards of care and expertise.

Recovery Period After Mini Gastric Bypass Surgery

Recovering from mini gastric bypass surgery is a crucial phase in your journey towards a healthier and more fulfilling life. During this period, you will be closely monitored, and it’s essential to follow post-operative care instructions diligently.

Hospital Stay and Post-Operative Care

After mini gastric bypass surgery, patients typically stay in the hospital for a few days to ensure their initial recovery is closely monitored. The duration may vary depending on individual progress and surgeon recommendations. Healthcare professionals will monitor vital signs, pain levels, and overall well-being during your hospital stay. This constant supervision helps identify and address any potential complications early on.

Initially, you’ll be restricted to sips of water to prevent dehydration. The medical team will gradually introduce clear liquids and, eventually, pureed and soft foods as you progress.

Managing Pain and Discomfort

It’s common to experience some discomfort or mild pain following surgery. Your healthcare team will provide pain management strategies to keep you as comfortable as possible. This may include prescribed medications. Ensure you follow the prescribed medication regimen meticulously. This will help control pain and reduce the risk of complications.

Gradual Reintroduction of Food

As you transition from clear liquids to solid foods, you’ll receive guidance from a registered dietitian. They will help you make appropriate food choices and ensure you meet your nutritional needs.

Mini gastric bypass surgery reduces the size of your stomach, which means you’ll need to practice portion control. Eating smaller meals and chewing food thoroughly are essential for your digestive health.

It’s crucial to avoid sugary and high-fat foods, as they can lead to discomfort and “dumping syndrome” – a condition characterized by nausea, vomiting, and diarrhea.

Adequate hydration is essential. Ensure you drink plenty of water between meals to avoid dehydration. However, avoid drinking excessively during meals to prevent overstretching your new stomach. Due to reduced food intake and changes in nutrient absorption, your healthcare provider may recommend vitamin and mineral supplements to prevent deficiencies.

Remember that recovery after mini gastric bypass surgery is a gradual process. Each person’s journey is unique, and it’s crucial to follow your surgeon’s recommendations and attend regular follow-up appointments. The support and guidance from your healthcare team will play a significant role in your successful recovery and long-term weight loss goals.

Activities and Things to Avoid After Mini Gastric Bypass Surgery

After undergoing mini gastric bypass surgery, it’s crucial to follow specific guidelines to ensure a successful recovery and achieve the desired weight loss results. Here, we outline dietary recommendations, physical activity guidelines, and common lifestyle adjustments for the post-surgery phase.

Dietary Guidelines for the Post-Surgery Phase

  • Progressive Diet Stages: Your diet will progress through various stages after surgery. Initially, you’ll be on a clear liquid diet, followed by pureed and soft foods. Gradually, you can reintroduce solid foods. Always follow the dietary plan provided by your healthcare team.
  • Portion Control: Due to the reduced size of your stomach, portion control is essential. Eating smaller meals more frequently helps prevent discomfort and supports weight loss.
  • Chew Thoroughly: Chew your food thoroughly and eat slowly. This aids in digestion and minimizes the risk of digestive issues.
  • Protein Intake: Focus on consuming protein-rich foods to promote healing and maintain muscle mass. Lean meats, poultry, fish, eggs, and plant-based protein sources are ideal.
  • Avoid Sugary and High-Fat Foods: Steer clear of sugary and high-fat foods, as they can lead to discomfort and “dumping syndrome.” This condition is characterized by symptoms like nausea, vomiting, and diarrhea.
  • Stay Hydrated: Adequate hydration is essential for overall health. However, avoid drinking excessively during meals to prevent overstretching your new stomach.

Physical Activity Recommendations

  • Gradual Increase: Start with light physical activities, such as walking, and gradually increase your activity level. Regular exercise is crucial for weight loss and overall well-being.
  • Consult with Your Surgeon: Consult with your surgeon or healthcare provider before starting any strenuous exercise routine. They can provide personalized recommendations based on your progress.
  • Avoid Heavy Lifting: Avoid heavy lifting during the initial recovery period. This precaution helps prevent strain on your abdominal muscles.

Common Lifestyle Adjustments

  • Smoking and Alcohol: It’s advisable to quit smoking and limit alcohol consumption. Both can have adverse effects on your recovery and overall health.
  • Vitamin and Mineral Supplements: Continue taking any prescribed vitamin and mineral supplements as directed by your healthcare provider to prevent deficiencies.
  • Regular Follow-Up Appointments: Attend regular follow-up appointments with your healthcare team to monitor your progress, address any concerns, and make necessary adjustments to your plan.
  • Support Groups: Consider joining support groups or seeking counseling to help you cope with the emotional and psychological aspects of weight loss and lifestyle changes.
  • Patience and Persistence: Understand that the journey to significant weight loss and improved health takes time. Be patient with yourself and stay committed to your long-term goals.

By following these guidelines and making the necessary adjustments to your diet, physical activity, and lifestyle, you can maximize the benefits of mini gastric bypass surgery and achieve lasting weight loss and improved well-being. Always consult with your healthcare provider for personalized advice and guidance tailored to your specific needs.


In conclusion, choosing Medicoist for mini gastric bypass surgery in Turkey offers a range of benefits that can significantly impact your health and well-being. Our commitment to providing top-quality medical care and the expertise of Safak Hospitals Group ensure that you receive the best possible treatment throughout your journey to a healthier life.

By opting for mini gastric bypass surgery at Medicoist, you are embarking on a path towards sustainable weight loss and improved overall health. Our experienced surgeons and dedicated medical staff will guide you every step of the way, from the initial consultation to the post-operative period, ensuring that you receive the highest standard of care.

We understand that every patient is unique, and we tailor our approach to meet your specific needs and goals. Whether you are seeking weight loss, resolution of obesity-related health conditions, or a chance to regain your vitality, mini gastric bypass surgery can be a life-changing solution.

To take the first step toward a healthier and happier life, we encourage potential patients to contact Medicoist for more information and to schedule a consultation. Our team is here to address your questions, provide detailed information about the procedure, and offer the support you need to make an informed decision.

Don’t let obesity or weight-related health issues hold you back from living your best life. Choose Medicoist, where excellence in medical care meets compassion for your well-being. Contact us today and embark on your journey to a healthier future with mini gastric bypass surgery in Turkey

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