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I had a revision from lap and to gastric sleeve on June 5th by Dr. Almanza. I am completely satisfied with the decision to travel outside of the USA to have my surgery. I do not have any regrets other than not doing it sooner. I was comfortable with all of the staff from van drivers, hotel staff, and hospital staff and was able to communicate with them without any problems. I would recommend Dr. Almanza to anyone considering having weight loss surgery.