Bariatric Surgery Abroad: Lithuania

Price in GBP
Price in EUR

Bariatric surgery packages in our clinic (regular price | UK dietitian package (recommended)):

Detailed pricing explanation in the next tab

Regular price:

  • consultation with the surgeon and anaesthesiologist
  • all the necessary health tests before and after the surgery
  • bariatric surgery
  • anaesthesia
  • hospital stay (1-3 days) with 24 hours medical care
  • 24/7 personal assistance during your stay
  • transfers to / from the airport, hotel and clinic
  • diet instructions after bariatric surgery
  • 10% discount for plastic surgery later (if needed)
  • FREE dietician follow-up for 5 years (regular, not UK based)
UK dietitian package includes everything as the regular price plus:

Please note that the price of the surgery itself is provisional and may be accurately assessed only after the evaluation of each individual case.

The default currency at our clinic is EUR, so if you were looking at prices in GBP it may vary depending on GBP / EUR exchange rate at the moment of payment.

Things to consider when choosing a clinic and surgeon abroad:

  • Is it a World-class surgeon with similar experience to ours (700 bariatric surgeries per year) ?
  • Is bariatric staff available? We are one of the few clinics that has a specially trained bariatric nursing staff.
  • Experience with bariatric anaesthesia? Anaesthesia of overweight patients requires skill and specialised experience, and our anesthesiologists have been specialising in bariatrics for over 15 years.
  • What is the quality of the dietitian follow-up services? We offer a 5 year follow-up with a specialised UK-based bariatric dietitian.
  • Is it a multidisciplinary private hospital? Nordbariatric is a private clinic with modern facilities and exceptional care.
  • Overall knowledge in the field? We have designed a unique bariatric mobile app. Our surgeon is the co-author of more than 40 scientific articles.
Testimonials
Sue, UK
Sue, UK
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This hospital and staff have got the whole package from collection at the airport to consultations so very friendly and professional you are put at ease from the moment you arrive. The only regret I have I wish I had done this years ago. You are up and about so quickly the staff are magnificent I felt so cared for, I now think back and wondered why I was so worried about doing this. I would highly recommend this to anyone overweight.
Lynn, UK
Lynn, UK
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I'm so pleased I went with Nordbariatric Clinic. They are such a professional, friendly & caring team. From correspondence with emails, being picked me up from the airport, taking me for tests, to my hotel & back to the airport. The hospital stay was amazing, the communication was fantastic & I had nothing to worry about. I was well looked after & they couldn't do enough for your recovery & comfort. Thank you to all the staff at Nordbariatric Clinic you are a remarkable team.
Jayne, Scotland
Jayne, Scotland
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Do not hesitate, you will be looked after from the moment you arrive at the airport. The clinic and the team are wonderful, especially Ausra and Santa, they are angels. The Professor is wonderful and will answer all your questions and put you at ease. In terms of value for money this is the top. I was worried about the quality of service by going abroad but I can honestly say I believe I have had better treatment at Nordbariatric than I would ever have got in UK.
Zoe, UK
Zoe, UK
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From the outset I was filled with confidence by the professionalism and efficiency of all the staff from Aurelija my customer service repesentative, to the other reps - Irina and Simona, the medical professionals - Dr Maleckas, the surgeon and the nurses (special mention for Ausra) who cared for me. Never been looked after better and the whole experience in Lithuania was life altering. Would I recommend them? 100%, they are fantastic and if I need further surgery in future I wouldn't hesitate to come back.
Vanessa, Spain
Vanessa, Spain
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Excellent care of each and every one of those who are part of the team! Thank you all...Doctor Maleckas, a true expert! All of the nurses great, they treat you superrr well! Thank you all!!!! And Daiva!!! You are fantastic!!! Thank you very much for everything! And I hope to see you again soon!!! A big kiss!!!
Christine, Norway
Christine, Norway
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A great clinic with a really friendly staff. They take good care of you and make you feel safe during your stay 🙂 All the uncertainty I had before I travelled, disappeared when I first met them.
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Facebook reviews & group​
Watch videos about our clinic

As Seen on BBC

Our patient Paul was interviewed by the largest UK broadcaster BBC One on Nolan Live show 1 month and 1 year after the surgery. He chose to travel to our clinic from Nothern Ireland to undergo bariatric surgery with Professor Maleckas. He has lost 8 stone (~50 kg). Watch interview here.

Only we can offer:
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bariatric surgeries performed

One of the most experienced private bariatric clinic teams in Europe. More than 6.000 bariatric surgeries were performed by our surgeon to this date. A figure that no surgeon or clinic in a region can match.

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our app downloads worldwide

The only clinic in Europe with a specially designed bariatric mobile app for patients after weight loss surgeries. Available in 6 languages on iOS as well as Android devices.

See before-after pictures

You can find FULL ALBUM of our before /after photos on our Facebook site.*

World-class surgeon

• Our surgeon Almantas Maleckas is a doctor of medical science
• UK General Medical Council (GMC) certified
• He performed over 6.000 bariatric operations
• A pioneer in laparoscopic surgery in the region
• More than 15 years working experience in Sweden, Gothenburg University hospital
• Works both in Lithuania and Sweden, speaks fluent English and Swedish
• London School of Economics graduate

5-year follow up with UK-based dietitian

Follow-up after the surgery is essential. Nutrition is the most important aspect of follow-up to safely maximize weight loss and prevent weight gain. Therefore, we offer 5-year follow-up with the surgeon and UK based dietician. Deborah is a Registered dietitian and Nutrition Consultant with over 25 years of experience. Read more about her here.

Special bariatric app for your mobile phone

We proudly present the product of our clinicBariatric IQ mobile app, the first comprehensive and easy-to-use app specially designed to address all issues bariatric patients face before and after surgery. It is currently available in 6 languages, has a massive product database, recommendations, motivations, community and many other features. Read more

What sets us apart from other clinics?
Dr Almantas Maleckas has performed more than 6.000 bariatric surgeries. He is fluent in four languages, among which English and Swedish. The surgeon has been regularly working in Sweden for almost 15 years. Dr Maleckas is a pioneer in laparoscopic surgery in Eastern Europe and has trained many other bariatric surgeons in the region. Read more about the surgeon here.

The clinic is equipped with modern diagnostic and surgical facilities, all analogous to those in Western European clinics. You will be looked after by professional English speaking staff. The wards are fully furnished and equipped with TV, WC and air conditioning. Free Wi-Fi is available while staying in the clinic.

Our clinic is one of the biggest surgical centres in the Baltic region. We work with patients from various countries, among which Great Britain, Norway, Sweden, Denmark, Germany, Switzerland, etc.
Despite the size of the clinic we provide our patients with personal care and assistance. The majority of big public hospitals due to high volume of patients do not have enough resources and medical personnel to pay personal attention to each patient. Whereas we are fully focused on providing exceptional care and undivided attention for our patients.
The patients are provided postoperative care at the clinic without any additional fees. Your hospital stay may take up to 4 days. The surgeon only discharges our patients when they are in a good health state and ready to leave. This is contrary to the majority of clinics that tend to discharge patients one day after the surgery or even on surgery day.

During your entire stay in Lithuania you will receive personal care as well as transport to and from the clinic, hotel, and airport. You will not have to worry about a thing. You will be assisted from the moment your plane lands in Vilnius or Kaunas airport till your departure.

Our clinic is flexible date-wise and can usually arrange your surgery on the date convenient for you.

Everyone in our clinic speaks English, including customer service desk, nurses, assistants and the surgeon.

Our clinic is the only clinic in Europe that offers customer service in 8 languages, among which English, Norwegian, Swedish, Danish, German, Spanish, Russian, and Lithuanian.

2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new flights and new destinations, therefore feel free to contact us if you need help choosing the flight that suits you best.

Our clinic operates strictly according to international standards. Therefore, contrary to most of the commercially oriented clinics in the region, we advise patients with lower BMI of non-surgical procedures. Dr Maleckas approves patients after a thorough evaluation of each case.

Lithuania has been a part of the EU and NATO since 2004. Lithuania has one of the fastest growing economies in the whole region and the second fastest internet speed in the world. Lithuanian medical schools have trained many medical professionals who are highly appreciated and employed by many foreign hospitals, among which hospitals in the UK.

Bariatric team

Direct flights to Lithuania
from UK
from UKin 2 h 30 mins
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London (London City, Stansted, Luton), Bristol, Edinburgh, Liverpool, Doncaster, Belfast
from Spain
from Spainin 3 h 30 mins
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Madrid, Barcelona, Palma de Mallorca, Alicante
from Norway
from Norwayin 1 h 30 mins
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Oslo (Sandefjord Torp, Gardemon), Bergen, Stavanger, Ålesund
from Germany
from Germanyin 2 h
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Berlin, Nurnberg, Cologne, Bremen, Dortmund, Munchen, Frankfurt
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What is bariatric surgery?

Bariatric surgery defines a group of surgical interventions which help people lose weight, induce remission of obesity-related diseases, and improve quality of life. A major goal of different bariatric surgeries is the reduction of excess body fat and improvement or remission of co-existing medical conditions, such as type 2 diabetes, cardiovascular diseases, sleep apnoea, osteoarthritis etc. Bariatric procedures are classified as either restrictive or malabsorptive. Restrictive procedures limit intake by creating a small gastric reservoir with a narrow outlet in order to delay emptying. Malabsorptive procedures include excising portions of small intestine where nutrient absorption occurs.

Most popular bariatric surgeries to this date are:

FAQ sessions with our surgeon
FAQ: How much weight it is normal to loose a month after surgey?
Watch video
FAQ: What is sleeve gastroplasty (POSE) procedure
Watch video
FAQ: Would gastric balloon be helpful if you are overweight?
Watch video
FAQ: Why might the weight loss stop after bypass surgery?
Watch video
FAQ: The weight loss stops few weeks after surgery, is it normal?
Watch video
FAQ: Hunger after the weight loss surgery, is it a normal feeling?
Watch video
FAQ: Liver shrinking diet.
Watch video
FAQ: How long will I keep loosing weight after weight loss surgery?
Watch video
FAQ: Is gastric sleeve surgery less invasive and more simple surgery?
Watch video
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Watch full list of interview sessions on our Youtube channel.

Why would someone need bariatric surgery?

Obesity is a complex medical condition associated with a great variety of complications which affect most organs through different pathways. There is now considerable evidence that intentional weight loss due to bariatric surgery is linked to clinically relevant benefits for the majority of these health issues.

  • First of all, significant weight loss has a positive impact on one’s blood pressure, notably improves cardiac function and reduces risk of cardiovascular events.
  • Moreover, it is consistently associated with a clinically relevant reduction in triglycerides and increase in HDL cholesterol, also known as “good” cholesterol.
  • Metabolic surgery may be particularly suitable for patients with type 2 diabetes, as these patients may benefit from improved glycaemic control compared to patients treated with medications alone.
  • In addition, obesity is widely recognized as a key modifiable risk factor for osteoarthritis, with significant improvements in pain and function reported with weight loss.
  • Obstructive sleep apnoea and obesity hypoventilation syndrome tend to improve even when a moderate amount of weight is lost.
  • It is worth mentioning that sustained weight loss seems to be associated with a significant improvement in asthma symptoms, too.
  • Last but not least, several studies suggest that long-term weight loss not only improves health-related quality of life, but also has a very positive effect on a patient’s self-esteem and so a more positive self-image can be built.
Who is a proper candidate for bariatric surgery?

The most important patient selection criteria for bariatric surgery include body mass index (BMI), the presence of co-morbidities and a history of prior weight loss attempts. Bariatric surgery is advised when BMI ranges from 35 to 40 and there are obesity related conditions such as diabetes or obstructive sleep apnoea, or when BMI is 40 or greater regardless of weight related co-morbidities.

However, an individualized pre-operative assessment is a complex process involving psychological, surgical, dietetic and medical review because benefits of the procedure should outweigh the operative risk for every patient.

It is worth emphasizing that the long-term success of bariatric procedures is critically dependent on patients’ compliance. In order to properly evaluate whether a candidate could make lifelong behaviour changes necessary for sustained weight loss, one must be not only physically, but also psychologically fit to proceed with surgery.

A few pre-existing medical conditions represent absolute contraindications to bariatric surgery. Notable exceptions are unstable coronary artery disease or an advanced liver disease with portal hypertension.

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What should one expect after bariatric surgery?

A successful weight-loss outcome after bariatric surgery has been defined as a loss of at least 50% of excess weight. Significant weight loss is achieved as caloric intake is reduced by modifying the anatomy of the gastrointestinal tract. However, patients undergoing bariatric surgery often believe they will lose more weight than is consistent with clinical experience and may think that minimal personal effort or risk is involved. Studies have shown that failure to maintain weight loss at 10 years after bariatric surgery has been observed in 10% to 25% of patients who undergo this intervention. The major contributor to poor long-term outcome is non-adherence to dietary and activity recommendations. To assess motivation and predict compliance to postsurgical recommendations, it is advised for patients to lose some weight before surgery. Moreover, psychotropic medications, such as antidepressants, are considered to very likely promote weight gain in post-operative patients.

Lifestyle changes after bariatric surgery

As effective as bariatric procedures are, surgical approach is just a small step forward for more balanced body proportions. Many post-operative adjustments to eating behaviour and daily physical activity routine are needed for successful weight loss and prevention of complications after surgery.

Patients should follow prescribed serving sizes to avoid overeating. Food should be well-chewed and consumed very slowly. Liquids should not be consumed with solid foods.

Moreover, frequent monitoring of nutritional status and additional supplementation, as needed, can aid in preventing severe clinical deficiencies.

Physical activity plays an essential role in weight loss maintenance after a dietary intervention. Several weight loss studies have shown a clear dose response between physical activity and prevention of weight regain.

Possible risks of bariatric surgery

For a more profound understanding about bariatric surgery its risks should be assessed along with the significant benefits. Postoperative gastrointestinal complications of bariatric surgery are common.

Nausea and vomiting occur in more than 50% of patients undergoing restrictive procedures, partly as a result of eating too much or too rapidly but sometimes because of anastomotic stricture or other mechanical consequences of the operation.

The dumping syndrome, a complex of neurohormonally mediated symptoms that include facial flushing, lightheadedness, palpitations, fatigue, and diarrhoea, occurs in some patients after Roux-en-Y gastric bypass. Typically triggered by the ingestion of concentrated sugar, this syndrome may discourage patients from eating foods with a high sugar content, thus contributing to the beneficial effects of the operation.

Deficiencies of iron, calcium, folate, vitamin B12, and other nutrients occur after procedures with a component of malabsorption, such as gastric bypass. With the more extensive procedures, such as biliopancreatic diversion, protein malnutrition and deficiencies of the fat-soluble vitamins (A, D, E, and K) may occur. All of these deficiencies require regular monitoring and replacement.

Other gastrointestinal complications include dehydration, bowel obstruction, anastomotic leaks, strictures, erosions, ulcers, adhesions, internal and incisional hernias, and cholelithiasis.

Cardiopulmonary complications, such as myocardial infarction and pulmonary embolism, although rare, are the major causes of mortality, representing about 70 % of all perioperative deaths.

In addition, studies have shown that the most serious surgical complication of the commonly performed bariatric surgeries, such as gastric bypass, is anastomotic leakage which may potentially lead to life-threatening peritonitis.

All things considered, patients at a higher risk for perioperative and postoperative complications are males, smokers, and those with higher BMI, older age or multiple comorbidities.

How to prepare for bariatric surgery?

Right preparation for bariatric surgery is a vital part of the procedure itself as it determines the success of the operation and the quality of recovery after it.

  • Practice healthy lifestyle. Exercising regularly, having your diet balanced and staying hydrated will strengthen your body and recovery after the surgery will be faster.
  • Avoid using tobacco products and consuming alcohol at least 1 month before the procedure.
  • In order to prevent perioperative complications, taking aspirin, anti-inflammatory drugs and other blood thinners should be avoided at least 2 weeks before the procedure, unless the operating doctor has advised otherwise.
  • Consult the surgeon about your allergies, previous surgeries and daily medications. If you have any pre-existing conditions that require daily usage of drugs, your operating doctor should be informed about it.
  • Follow your specific pre-operative instructions as they may vary depending on your personal medical history.
When weight loss surgery doesn't work. Possible reasons

Although bariatric surgery is often recommended as an effective treatment for severe obesity, there is still variability in outcome. There are 3 most commonly observed factors that might adversely affect the results of a bariatric procedure: binge eating, lowered energy metabolism, and psychosocial functioning.

Binge eating behaviour, which is characterized by episodes of eating an objectively large amount of food and feelings of loss of control, may occur after the surgery and is tightly associated with weight regain through overeating. There are several patterns of eating disturbance that also often occur among post-surgery patients who have regained weight: continuous snacking, eating large quantities of sweet foods, and consuming large quantities of soft or liquid foods. In this case, patient’s determination to stay in shape plays a major role in altering one’s pre-existing eating habits.

However, eating behaviour is controlled at least partially by mechanisms governing energy metabolism, which, in turn, govern energy expenditure, too. In order not to regain weight after the surgery, it is extremely important that excess calories from food are turned into actual mechanical energy. Therefore, staying at least minimally active is extraordinarily important for those who undergo bariatric surgery.

Last but not least, nowadays psychological disturbances are considered to be of paramount importance in the development of obesity and, conversely, the efforts to treat obesity that are not accompanied by resolution of psychological factors may lead to a deterioration of mental health and failure of treatment.

Taking everything into account, improvement in general health status, long-term changes in eating behaviour, and psychosocial adjustment are the most important factors that define a positive outcome of a bariatric procedure. For it to be truly successful patient’s determination and wilful seek for changes are of utmost importance.

Most popular bariatric surgery methods these days, a quick overview of the methods

Roux-en-Y gastric bypass is often referred to as a combined restrictive–malabsorptive procedure. It involves stapling of the stomach to create a small (≤30.0 ml) upper gastric pouch. The small intestine is then divided and the distal portion (called the alimentary, or Roux, limb) is attached to the gastric pouch. The distal portion of the stomach and proximal small intestine (the biliopancreatic limb) are connected farther down the jejunum. Food comes into contact with pancreatic and biliary enzymes only below this connection site. In this way less food is eaten and not all of it can be absorbed.

Adjustable gastric banding is a restrictive procedure that involves placing a silicone implant around the top of the stomach. The inner part of this band contains a balloon that can be filled with saline at any time through a virtually painless injection though the skin, providing partial obstruction to the flow of food and allowing less food to be comfortably eaten. Food slowly passes through the band into the remainder of the stomach.

Sleeve gastrectomy is a restrictive procedure in which the stomach is transected vertically creating a gastric tube and leaving a pouch of 100 to 200 ml. The main aim of this procedure is similar to that of an adjustable band which is portion control. It is worth noting that in this case no intestinal rearrangement as in gastric bypass surgery and no foreign body placement as in adjustable gastric banding is required.

Our clinic
Personal assistance in Lithuania

We will advise you on travel arrangements including flights to and from Lithuania.  We will take care of airport pick up and drop off and arrange a pleasant stay in a comfortable hotel at a convenient location.  We will be there for you 24/7 if needed.

*Please note that each case is individual and the results may vary.

Taking bookings for June and onward