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Absolutely everything preformed was perfect. Everything from the four star hotel, the nursing staff, the doctor and the hospital were clean, friendly and extremely through. The staff was there night or day either in the hospital or they come to your room at the hotel. Everything was amazingly clean. I saw young boys going around dusting the doors. I never even seen that in the states. If you feel nervous about having surgery in Mexico, don't. Dr. Almanza and his team know what they're doing and treat you better than they do in the states. Here they make you jump through all these hoops a year before surgery and its a big hassle. In Mexico they answer all your questions and let you know when the next surgery date is. I highly recommend the gastric sleeve due to all the complications the band can cause. You won't regret your discussion. My boyfriend and I did it together. I lost 20 pounds in two weeks and he lost 34 in two weeks. By next summer we'll be the slimmest we've ever been. Don't wait, make the best discussion of your life right now!!