Type
Weight Management
Duration
2 hours
What's included
6 deliverables in this treatment
- Laparoscopic sleeve gastrectomy by experienced bariatric surgeon (da Vinci robotic system available)
- 4–5 nights inpatient monitoring including HDU-level care in the first 24 hours
- Pre-operative evaluation: BMI assessment, psychological assessment, nutritional counselling
- Post-operative dietary plan and follow-up schedule provided before departure
- Pre-departure coordinator consultations, airport transfer, and on-site assistance throughout the Prague stay
- Aftercare follow-up by Royal Medical coordinator team
Gastric sleeve surgery (laparoscopic sleeve gastrectomy) arranged through Royal Medical Prague is available with the da Vinci robotic surgical system — one of the most precise laparoscopic platforms available — for patients with BMI above 35. The procedure permanently removes approximately 80% of the stomach, creating a narrow sleeve-shaped gastric tube that restricts food volume and eliminates the fundus (the region that produces ghrelin, the hunger hormone), producing both mechanical restriction and hormonal appetite suppression. Royal Medical provides 4–5 nights of inpatient monitoring post-procedure — an extended stay reflecting the clinical significance of bariatric surgery — and coordinates with experienced Czech laparoscopic bariatric surgeons. Expected first-year weight loss is 30–50 kg, or 35–55% of total body weight.
About this treatment
Gastric sleeve surgery (sleeve gastrectomy) through Royal Medical Prague is the most commonly performed permanent bariatric procedure worldwide, combining mechanical restriction of food intake with a sustained reduction in appetite through elimination of the ghrelin-producing fundus. Unlike gastric bypass, it does not reroute the digestive tract, making it less physiologically complex; unlike the gastric balloon, it is a permanent anatomical change.
Eligibility criteria at the Royal Medical partner bariatric centres follow standard international guidelines: a BMI of 35 or above, or BMI 30–35 with significant obesity-related comorbidities (type 2 diabetes, sleep apnoea, hypertension, or joint disease). The typical weight range of patients at the Royal Medical network is 105–200 kg. Psychological assessment and nutritional counselling are part of the pre-operative evaluation to confirm behavioural…
The procedure is performed laparoscopically — four to five small port incisions in the abdomen — with the option of da Vinci robotic assistance. The da Vinci system translates the surgeon's hand movements into precise, tremor-filtered instrument movements through the laparoscopic ports, offering enhanced dexterity in the tight operative field. A calibration bougie (a flexible sizing tube) is inserted transorally to guide the correct sleeve diameter before…
Good to know
- Price
- From ~€6,350 all-inclusive
- Hospital stay
- 4–5 nights inpatient
- Eligible BMI
- 35+ (or 30+ with comorbidities)
- Expected year-1 weight loss
- 30–50 kg (35–55% of body weight)
- da Vinci robotic system
- Available
Who is this for?
Adults with BMI 35+ seeking a permanent, evidence-based solution for significant weight loss and improvement of obesity-related health conditions, where dietary and lifestyle measures have not achieved sufficient results
Preparation required
Contact Royal Medical at least 6–8 weeks before planned travel for pre-operative evaluation and psychological/nutritional assessment scheduling. Follow a pre-operative liver-reduction diet (low-carb, low-fat) for 2–4 weeks before surgery to reduce liver size and improve surgical access. Stop smoking at least 4 weeks before. No NSAIDs 2 weeks pre-op.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
222 clinic reviews
From independent platforms
Clinical team
Royal Medical coordinates a network of more than 150 board-certified Czech specialists. Plastic surgery procedures are led by Dr. Lucie Kalinova, who performs over 700 surgeries per year with a focus on breast and facial surgery; Dr. Tomas Nedeliak, internationally acclaimed for rhinoplasty and septoplasty with thousands of successful cases for UK clients; Dr. Helena Singerova, who has treated thousands of…
Languages: English, German, French, Russian, Czech
What clients say
"{"author":"Oxana (Ireland) — site testimonial","text":"I chose Royal Medical for my breast reduction and was matched with Dr. Michael Puls. From the first call with my coordinator to my post-op follow-up, every detail was handled. The result exceeded my expectations.","rating":null}"
"{"author":"Henry (Switzerland) — site testimonial","text":"The facility was modern and well-organised, and the pricing was completely transparent — no surprises. I felt confident throughout. Fair pricing, professional staff.","rating":null}"
Treatment highlights
- Laparoscopic sleeve gastrectomy by experienced bariatric surgeon (da Vinci robotic system available)
- 4–5 nights inpatient monitoring including HDU-level care in the first 24 hours
+4 more items in What's included
From 15,875 CZK equivalent (approx. €6,350) all-inclusive — covers surgeon fee, da Vinci robotic assistance (available), 4–5 nights inpatient stay, pre-departure consultations, coordinator, airport transfer, and aftercare. Irreversible procedure; da Vinci robotic system available for laparoscopic precision. Expected weight loss: 30–50 kg in the first year.