Gastric Sleeve Abroad: Lithuania

Price in GBP
Price in EUR

Gastric sleeve packages in our clinic:

  • Regular price – 5.450 £
  • UK dietitian package – 5.790 £ (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.
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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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:
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.

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.*

Refund from NHS & HSE

The clinic helps patients with the documents needed to claim a refund from NHS & HSE for medical treatment abroad. It applies to patients who are insured under the UK and Irish systems and may not get the surgery due to long waiting times. 

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 several 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
What is a gastric sleeve? The history of gastric sleeve surgery.

Gastric sleeve surgery, or a laparoscopic sleeve gastrectomy, is a surgical procedure during which a part of the stomach is removed leaving the remaining part to function as a new smaller stomach. The stomach is an organ which functions as a temporary food reservoir and it also produces hormones, such as gastrin and ghrelin. Ghrelin is associated with the feeling of hunger. Therefore, the removal of a large portion of the pouch can favorably alter the hunger hormone production. After a gastric sleeve procedure a patient’s food intake is decreased and they feel full faster. It is a bariatric surgery, which helps patients to lose as much as 50 to 70 percent of their excess weight.

The history of gastric sleeve surgery might be described as an evolutionary process of prior anti-reflux surgery and gastroplasty. The first duodenal switch was performed in 1988 and it later evolved to an open gastric sleeve surgery. In 1999 the first laparoscopic gastric sleeve surgery was performed, meaning that surgeons no longer had to perform open surgeries and instead patients could be operated by making just a few incisions in the abdomen as it is mostly practiced today.

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

Watch full list of interview sessions on our Youtube channel.

How is gastric sleeve performed?

Gastric sleeve surgery is performed under general anaesthesia and takes about two hours to complete. Just a few small incisions are made in the stomach area so that a laparoscope and other surgical instruments used to perform a gastrectomy can be inserted in the abdomen. Then approximately 75 percent of a stomach is removed and the rest of the pouch is sealed using medical staples. In order to prevent any leakage after a patient starts consuming food, the staples are then manually stitched over and a fluid test is done while the patient is still on the operating table. The new stomach acquires a shape somewhat similar to a sleeve. The stomach retains all of its previous functions, therefore, food can still be digested properly. The biggest change is a significantly decreased feeling of hunger. Moreover, the patient feels full faster and can eat smaller portions of food.

Who is a good candidate for gastric sleeve?

Not every obese person can qualify for a gastric sleeve surgery. A qualified physician will help to  determine if a patient is eligible for the procedure. However, there are certain requirements that must be fulfilled so that the patient can be approved for the surgery.

A suitable candidate for a gastric sleeve surgery is someone who tried losing weight individually  through a healthy diet and exercise but found it ineffective. A patient should have a body mass index (BMI) of 35 or more. A BMI of 30 to 35 is considered sufficient for undergoing gastric sleeve surgery if a patient is present with additional medical conditions related to obesity, such as type 2 diabetes or arterial hypertension.

Bear in mind that surgery results greatly depend on a patient’s commitment to stick to a new routine and strictly follow doctor’s recommendations for a successful recovery. The right attitude towards physiological and psychological health is also undeniably important.

How is sleeve different from bypass?

There are a number of possible procedures bariatric patients can choose from. Although gastric sleeve and gastric bypass procedures are similar in recovery time, possible risks and weight loss results their surgical methods differ.

After a gastric sleeve surgery as well as after a gastric bypass a patient needs approximately 2-4 weeks to recover.

Both surgeries have a chance of provoking a dumping syndrome, which is caused by the food passing through the stomach and reaching the small intestine too quickly.

On the other hand, both surgeries are very effective in achieving long-term weight loss. They can both help a patient lose more than 60 percent of their body weight in the first year after the surgery.

During a gastric sleeve surgery a surgeon removes a part of the stomach and then seals it with a platinum staple line as well as a manual stitch that prevents bleeding and leakage. During a bypass surgery stomach is divided into a small upper pouch and a large “remnant”. The smaller pouch functions as a new stomach just a significantly smaller one. Then the middle part of the small intestine is attached to that small pouch creating a bypass. When the food travels through the digestive system it bypasses most of the stomach and the first part of the small intestine, therefore, a smaller amount of food is consumed and fewer calories are obtained.

During a consultation the surgeon will evaluate each case, discuss available options and choose the procedure that best fits the patient’s needs.

The benefits of gastric sleeve surgery
  • Gastric sleeve surgery is a life-changing procedure which allows a patient to lose more than 60 percent of their excess body weight.
  • Studies prove that a significant reduction in one‘s weight causes a remission of serious health-damaging conditions, such as arterial hypertension, diabetes, sleep apnea, heart failure, osteoarthritis and back pain.
  • Moreover, patients also report having more vitality and energy to engage in new physical activities.
Is gastric sleeve reversible?

During a gastric sleeve surgery three-quarters of the stomach are removed and the remaining pouch is shaped into a sleeve-like shape. Due to the extent of surgical invasion gastric sleeve cannot be reversed. The volume of the stomach pouch is reduced permanently therefore the production of hunger hormone decreases accordingly. This ensures consumption of small portions of food for the rest of one’s life, which means that weight loss will be reliable and permanent just as the surgery.

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

Weight loss surgery is a life-altering decision to make, therefore, a patient should be prepared psychologically as well. The treatment does not start and end with just the surgery and is rather a choice of a new way of life. Therefore, patients need to be aware of numerous lifestyle alterations which are essential for successful recovery and life-long results.

At first, the prospective patient should consult a general practitioner who will evaluate the patient’s eligibility and emotional well-being. This is an important step since obesity might result from stress or binge eating which have other treatment methods.

Bear in mind that the preparation process might start as early as a year before the surgery so that the patients lose at least 5-10 percent of their body weight. The medical team including a bariatric physician, a dietologist and a psychologist will put together a treatment plan and will follow-up with the patient during the pre-surgery period. Adopting healthy habits ensures a stable weight loss and a successful recovery period.

A patient must refrain from smoking 8 weeks before surgery and preferably quit smoking altogether after surgery, as smoking increases the risk of complications by restricting the blood flow.

Also, consumption of some medications, especially blood-thinning drugs, should be discussed with the doctor a couple of weeks before the procedure.

Certain laboratory tests such as complete blood count are performed before the surgery. An electrocardiogram and a gastroscopy are also needed for an accurate assessment. In individual cases, the surgeon might suggest additional tests to be carried out as well.

Two weeks before the surgery a patient will have to stick to a certain diet and calorie goal. The main purpose of the pre-surgery diet is to shrink the patient’s liver in size by losing the fat around it so that it is easier for a surgeon to access the near lying stomach. In order to prevent regurgitation, the patient must not eat anything 6 hours before the procedure.

What are the risks of gastric sleeve surgery?

The risk of complications can be reduced by choosing a well-experienced doctor and strictly following a treatment plan. Moreover, the risk is reduced significantly if a patient does not smoke and is eager to commit to a healthy lifestyle. The possible complications are:

Acid reflux can develop as a result of a reduced stomach size when gastric juice leaks into oesophagus and damages the mucosal layer. Therefore, antacid medication is recommended at least the first 3 months after surgery.

Staple line leaks may occur if the body fails to form a complete seal over the staple line which was used during the surgery to close the reduced stomach. However, stitching over the staple line reduces the risk of leakage to an absolute minimum.

Blood clots can form during general anaesthesia or during recovery period because blood moves more slowly through the veins than usual. In order to prevent blood clots a patient should start walking as soon as possible and refrain from smoking.

Dumping syndrome occurs when food reaches small intestine too quickly. An early dumping syndrome is caused by a sudden influx of food which subsequently makes fluids from the bloodstream rush into intestines. This causes diarrhea and bloating. A secondary dumping syndrome is caused by starches breaking down too fast and causing sudden fluctuations in blood sugar level. Dumping syndrome can be avoided by adjusting portion sizes and choosing products carefully and trying each new product slowly and in small quantities.

What to expect after gastric sleeve surgery?
  • After gastric sleeve surgery a patient should expect to spend at least a few days at the hospital.
  • At first the patient will have intravenous pain relieving medications administered. When discharged from the hospital patient will be prescribed pain-relieving drugs to be taken at home.
  • The patients should wait 48 hours until having a shower and should avoid baths, pools and hot tubs for four weeks or until the wounds have healed completely and are dry. The patient will be advised on a more detailed wound care by the healthcare team.
  • The patient should expect to return to usual activities in about 2 to 4 weeks, but refrain from sports and strenuous training for 2 months. In order to ensure stable weight loss regular exercise, like swimming or walking, should gradually become a part of one’s life.
  • A specific diet will also have to be followed, which will be discussed in the next paragraph.
What will I be able to eat after gastric sleeve surgery?

Right after the surgery a patient should consume only clear liquids. Sugar should be avoided as it may contribute to a dumping syndrome, which is caused by a rapid influx of sugars. Coffee may worsen acid reflux and thus should be limited to a minimum as well. Carbonated drinks should not be consumed as they cause gas formation. While still at the clinic, the patient will be introduced to pureed food and low-fat yoghurt. Pureed diet is advised for approximately six weeks after surgery.

During this period the patient is advised to consume baby food or homemade vegetable and lean meat purees, low-fat yoghurt without chunks, protein shakes, homemade clear broth. Baked and pureed apples, peaches or pears may be introduced as a snack, but preferably consumed in the first part of the day, as fruit are high in sugars. If not enough proteins are consumed with foods, protein powder may be added to the purees. Coffee or tea intake should be limited to no more than two cups per day. Water intake should be at least 1.5 liter of still water a day. Remember to always eat slowly and chew well. Every meal should last at least 20 minutes.

When still on pureed foods, the patient should stick to unseasoned, caffeine-free, sugar-free, low-fat pureed products. Protein intake should be increased on week three. The patient may continue drinking protein shakes and introduce boiled or cooked eggs, jarred baby foods, pureed fish and avocados, hummus, mashed bananas, and other non-fibrous fruits.

After a month semi-solid foods may slowly be added and gradually transitioned into solid foods. Well-cooked chicken, fish and vegetables, sweet potatoes, low-fat dairy products, and low-sugar cereal are favorable choices, firstly roughly mashed with a fork. The patient should still avoid high-fat products, steaks, fibrous fruits, white potatoes, and other high-carb options. Caffeine should be reintroduced with moderation.

Note that the results of the procedure depend on one’s willingness to acquire and maintain healthy eating habits. From the fifth week forward the patient may introduce new foods and keep the emphasis on lean protein and vegetables. Sugary sweets and drinks should still be avoided. Learn to notice the difference between emotional binging and true hunger. Do not forget to keep hydrated.

Will I need to take vitamins and supplements after sleeve surgery?

Most often prescribed supplements are multivitamins with iron, vitamin D, vitamin B12, and calcium. Yearly control blood tests are advised to monitor the need for vitamins and supplements.

Read more about gastric sleeve:
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.

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