Gastric Bypass Abroad: Lithuania

Price in GBP
Price in EUR

Gastric bypass packages in our clinic:

  • Regular price – 5.450 £
  • UK dietitian package – 5.790 £ (recommended)

Gastric bypass variations in our clinic (regular price):

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

COVID-19 situation in Lithuania

Lithuania has one of the lowest rates of COVID-19 cases in Europe. Its rate of confirmed COVID-19 cases per 100.000 residents in the last 14 days is more than 10 times lower than UK. You can read the latest COVID-19 updates here.

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 a gastric bypass?

A gastric bypass is one of the techniques used in bariatric surgery and is done not only to kick-start  the weight loss process, but also to prevent or treat health problems that are associated with excess weight. Even though obesity has been prevalent for ages, only recently has it been recognised as a disease of multifactorial origin. The first attempts to treat obesity for the sole purpose of weight loss began in 1950s, when jejunoileal bypasses were done to induce a state of malabsorption (a condition when nutrient absorption is impaired). Despite reaching desired weight loss results, the procedure had too many post–operative complications to be deemed successful. The gastric bypass was developed years later, in the 1960s. The surgical technique went through numerous modifications in order to decrease the number of complications and is now one of the most frequently performed bariatric surgeries worldwide.

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.

How does a gastric bypass work?

A gastric bypass consists of two main steps:

  1. Firstly, the top part of the stomach is separated from the rest of the stomach, thus creating a small, 30 mlpouch.
  2. Afterwards, the small intestine is divided and the lower part of it is connected to the new stomach pouch.

In other words, this structure lets food bypass most of the stomach and enter into the middle part of the small intestine. Because of the small size of the stomach pouch, fewer calories are consumed, and the feeling of fullness is reached faster. Additionally, a small degree of malabsorption is caused by the food bypassing most of the stomach and a part of the small intestine. Finally, changing the route of food stream leads to a modified production of specific hormones that suppress hunger and induce the feeling of satiation. A gastric bypass is normally performed  laparoscopically, i.e. via keyhole surgery, when the procedure is performed using a few small incisions rather than a large one. The choice of surgical technique varies with each individual case. The surgery itself takes up to two hours and is done under general anaesthesia.

Who is a suitable candidate for a gastric bypass?

Bariatric surgery is a suitable choice for people, who:

  • have a BMI (Body Mass Index) that is 35 or above with or without conditions associated with obesity;
  • have a BMI of 30 to 35 and one or more comorbidities that are caused by obesity (such as high blood pressure or type two diabetes).

It is important to mention that bariatric surgery is only recommended after the patient has unsuccessfully tried to lose weight via diet and exercise.

Severe obesity is not the only requirement for weight loss surgery: one has to be in sufficient overall health to go through the operation.

Moreover, a patient must be willing to make permanent changes to their lifestyle and take part in long–term follow–ups which involve keeping track of your health, nutrition, behaviour and medical conditions.

In addition, a psychological assessment is necessary for patients considering a gastric bypass. A patient should have realistic expectations as well – even though a gastric bypass causes considerable weight loss, permanent lifestyle changes are a crucial contribution to the results and bariatric surgery should not be seen as a magic pill for weight loss.

It is also worth noting that a gastric bypass might not be the right solution to every patient, as some health conditions might indicate for another weight loss surgery method to be recommended.

How to prepare for gastric bypass surgery? What tests are needed?

A thorough assessment is needed in order to prepare for gastric bypass surgery. Patients are evaluated by a team of professionals from different medical fields: you will need input from your nutritionist as well as a psychological assessment. You might need to get an ultrasound done for your liver evaluation. Moreover, you may need a screening for coronary artery disease depending on your age and health state.

Additionally, you will be asked to follow a low–calorie diet prior to the surgery – this will make the surgery easier and decrease the likelihood of complications.

Besides that, you will have a consultation with your surgeon. You should discuss both your expectations and any questions you may have.

Furthermore, your surgeon will ask about the medication you take, including over–the–counter drugs and vitamins or supplements. Certain drugs, such as non–steroidal anti–inflammatory medications are to be discontinued, as they increase the risk of bleeding and the formation of stomach ulcers.

You will be asked to stop smoking at least 8 weeks before the surgery and permanently afterwards.

What to expect after a gastric bypass?

You will need to stay at the clinic for 1 to 2 days after the surgery.

The surgical incisions are closed with dissolvable intra-cutaneous stitches that will not need to be removed and will dissolve over time. They will then be covered with bandages that need to be changed every few days until the wounds heal completely. Injections of anti–clotting medicine will be administered as well in order to decrease the risk of blood clots forming in the deep veins of your legs.

Additionally, you will receive painkillers for post–operative pain management.

You will not be able to consume solid foods immediately after the operation. Fluids will be administered via drip, and you may start drinking small amounts of water once you feel well enough.

Despite the necessity to stay in the clinic for a few days, you will be encouraged to get out of bed and start moving around as soon as possible.

Overall, it should take around 4 to 6 weeks to recover after gastric bypass surgery, but it is important to mention that recovery time varies with each individual case. As you lose weight, it is expected to experience certain changes for the first 3 to 6 months post bariatric surgery. The aforementioned changes can be body aches, fatigue, feeling cold, having dry skin, increased hair loss and fluctuating moods.

What supplements and vitamins will I need to take?

Because of the restricted amount of food and the bypassed intestine, there is a chance of various vitamin and mineral deficiency development. Because of that, you will need to take certain supplements on a daily basis, including:

  • A high – potency multivitamin and mineral supplement that contains a minimum of 25 mg of iron, 400 mcg of folic acid, copper and zinc;
  • Calcium citrate (a dose that usually varies from 1200 to 2000 mg taken in separate stages);
  • 800 to 1000 international vitamin D units;
  • 1 mg of vitamin B12.

Certain adjustments may be made by your surgeon or nutritionist, and later on your GP, and you should make sure to follow the instructions carefully. You should also keep in mind that you will not be able to absorb whole pills as well as you did before, and they might have difficulties passing through your digestive system during the early postoperative period. Therefore, it is recommended to crush the tablets and open the capsules or purchase your medications and supplements in liquid or chewable form for the first month after surgery.

What will my diet look like?

You will have to follow a special diet after the surgery. The consistency of your food will start with liquids and purées before you will be able move on to consuming solid foods. Because of the new structure of your digestive system, you will only be able to eat in small portions. At first, you may feel nauseous or even vomit if you eat a larger portion of food. It is normally recommended not to exceed a 1000 calories per day. Nonetheless, you should make sure to consume foods that are high in protein (you should be getting a minimum of 65 to 75 grams per day). It is also recommended to avoid added sugar and foods and beverages high in sugar (especially carbonated ones). Moreover, alcohol should be avoided altogether at least the first year after surgery. In time, you will be able to add more variety and consistency to the foods in your diet. Be sure to have regular follow–ups with your nutritionist.

What is dumping syndrome?

Dumping syndrome (also known as rapid gastric emptying) is a condition that may develop after gastric bypass surgery and occurs when food moves from your stomach into your small intestine too rapidly. The symptoms are usually present after eating and can be more intense if the meal was high in sugar. You may have dumping syndrome if you experience these symptoms 10 to 30 minutes after eating:

  • Feeling bloated or too full;
  • Nausea and vomiting;
  • Diarrhoea;
  • Abdominal cramps;
  • Dizziness;
  • Rapid heart rate.

Furthermore, you might experience symptoms of late dumping syndrome. Because of the low blood sugar, you may sweat, feel extremely lightheaded and weak and have a rapid heart rate.

Dumping syndrome can present itself with both early and late symptoms and can develop even after years have passed after bariatric surgery. On average, dumping syndrome can affect at least 3 out of 20 people who have had part of their stomach removed. If your symptoms cannot be controlled by dietary changes, you should contact your doctor.

Can my pouch stretch again?

Your pouch is naturally due to stretch to a certain degree over time. Nonetheless, it is highly unlikely for your pouch to go back to its original size. Even though larger meals should not cause any permanent damage, you should manage your eating habits as mentioned before: avoid overeating, don’t skip meals, be aware of the habit of emotional eating and refrain from carbonated beverages. Maintaining a steady diet will ensure that you are in the best shape possible.

How to ensure my results are successful?

It is also important to take part in the follow–up appointments with your doctor, so your progress can be tracked and any type of complications are noticed as soon as possible. In addition to everything, it is sometimes suggested to join a support group, which helps bariatric surgery patients discuss the issues they face post weight loss surgery.

Will I have loose skin after surgery? How to deal with that?

Due to excessive weight loss, you may be left with loose skin, usually on your abdomen, bottom, breasts, upper arms and thighs. Many people find this uncomfortable both psychologically and physically, as the loose skin can become irritated and painful. If you are bothered by excess skin, it is possible to fix it with cosmetic surgery. You should wait for at least a year or longer after your weight loss surgery to remove loose skin – it is important to reach a stable weight and make sure it does not change dramatically. If you are considering cosmetic surgery for loose skin, you should consult your doctor.

What are the risks?

There are complications associated with any type of surgery, such as the possibility of allergies, blood clot formation (deep vein thrombosis or pulmonary embolism), bleeding or infection. However rare, more specific gastric bypass complications include:

  • Bleeding from a stomach ulcer;
  • The part where your stomach is connected to the small intestine may narrow, therefore causing nausea and vomiting;
  • On rare occasions, the part where your stomach is connected to the small intestine may leak (this requires immediate surgery);
  • Internal hernia, which usually presents with abdominal pain;
  • Bowel obstruction;
  • Low blood sugar (hypoglycaemia);
  • Dumping syndrome;
  • Because of rapid weight loss, there is an increased risk of gallstone formation.
Common myths about gastric bypass
Myth no.1: weight regain
People who have bariatric surgery regain all of the weight. Even though patients do regain a small amount of weight, bariatric surgery has long–term results and high success rates.
Myth no.2: easier weight loss
Bariatric surgery is done because it is an easier version of diet and exercise. In reality, gastric bypass is done for patients who are resistant to conservative methods of weight loss. Weight loss surgery works in a different mechanism than diet and exercise, and it is easier to maintain a stable weight afterwards.
Myth no. 3: impossible pregnancy
Pregnancy is not possible after bariatric surgery. Even though it is recommended to wait at least 18 months after weight loss surgery, the procedure itself does not affect one’s ability to conceive and carry a baby.
Myth no.4: cosmetic purposes
Bariatric surgery is done for cosmetic purposes. Even if losing weight does improve one’s appearance and self-esteem, the main goal of a gastric bypass is prevention or treatment of obesity associated diseases and an increase in a patient’s life span.
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How much weight can I expect to lose after gastric bypass?

The degree of your weight loss depends on a variety of factors including how well you keep up with your diet and exercise and your overall commitment to lifestyle changes. On average, patients lose about 70% of their excess weight. However, you should keep in mind that the average weight loss number may not apply to you – there are people who lose more or less weight.

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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.

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