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I had reached a point in my life where I hated looking in the mirrow & refused to go clothes shopping. I had tried diet pill & diets out the wazoo. I spent thousands on any product that could help me. I had become round in my 5.2 body. I had talked to a friend that had this procedure a few years ago & had great success. After convincing my husband that this is what I needed to do for a normal heatly life, the next thing was to figure out how I could afford this. In the states the best price I found was over 20,000. I spent right at 2 years reading testimonials on this site and was convinced this is where I needed to go. My husband ageeded if he could accompany me for safety. We arrived in San Diego where we were picked by the shuttle. The shuttle drivers were friendly. Did not speak much English but we made due fine. We were with several other patients also going to same facility which made us feel more comfortable. That night staff came to my hotel room to draw blood. The next day was my procedure. The facility served the purpose. Compared to What you would find in the states it would be small & out dated. Be prepared to possibly have a room mate that cannot handle pain as I did and that first night could be miserable. Pain was as most have described pretty intense the first 48 hours. I found that the more I walked the better it got. On 3rd day I was extremely nauseous but it too passed. Everyday got a little easier. We flew home 4 days later & I returned back to work 8 days after surgery. When I weighted a week before started pre op diet I was at a life time weight high of 210 lbs. I am currently at 158 lbs. I lost my of my weight in the first 4 months. I have reached a plateaue many times then started loosing again. Although I am still hoping to lose another 20 lbs, I could not be happier. I am healthy. I go to boot camp daily. I feel like a new person. People notice my weight loss. I have had no problems what so ever except the occasional Nausea & vomit if I over eat or eat too fast. It is all about re training yourself how to eat. I can eat anything I want just not much. I would recommend this surgery to anyone that is serious about loosing weight & loosing it for good. I would recommend Dr. Almanza. He is very experienced in the procedure & does many per day.