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I just had my surgery on 10/01/2013, so have no great weight loss story to tell. I am writing just to let those in the decision stages know about Dr. Almanzo . My experience at Jerusalem Hospital was fantastic! I found the facility to be clean, well run and the staff willing to do whatever it took to assure your comfort. My sister accompanied me, and on the day of my surgery was at the center with me. While waiting for me to have my surgery and to awaken, my sister was given access to their kitchens. She had breakfast and lunch with the hospital staff and said the food was delicious The Ticuan Hotel was a very well run place and everyone there was pleasant and accommodating. The staff on location from Jerusalem were available whenever I needed them. After surgery, my sister and I walked the streets of TJ and never felt anything but safe. My advice to anyone who wants the surgery, and must self-pay, consider WeightLossAgents and Dr Almanzo. I will keep in touch and give updates on a regular basis. Can't wait to reach the point where I can submit "after" photos.