I was nervous and didnt know if i wanted to go out of country to have a procedure done. I know of a few people that had their surgery done with dr. Almanza, they had great results. I did my research and saw good reviews and the cost was a great deal, too good to pass up. I decided to go, and so far, I have had no complications at all. I was sleeved october 2nd. It has been 6 weeks and I'm down 42 pounds and I'm loving it. Thank you to all the staff and doctors. I am looking forward to my new life, I already have more energy and I'm feeling good. Again, I thank all of your staff for being caring. It meant alot to me. I would reccomend dr. Almanza 100%.