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If anyone ever had doubts about having this surgery DON'T. It has saved my life and added years to my life. In just 4 short months I have lost 85lbs. My knees stopped hurting my sleeping is 100% better. As Dr. Almanza says my English maybe not so good but my hands are GREAT. I will never ever forget him saying that to us the morning of surgery. Picture on left April 2020 picture on right Sept. 2021. Thank you Dr. A