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I can tell you how wonderful I feel, I have only lost about fourteen pounds with doing pre-op diet and my surgery has been done 5 days ago. But I am happy as a clam that I did this and can not believe all the doubts I had. My family was scared to death for me to go to another country and have this done, but let me tell everyone, they don't do things like the states but they know what they are doing and do it well. The nurses are not paid enough, they are great and deserve any tips anyone will give them. Dr. Almanza speaks very poor english but has great hands in a surgeon and that is what counts. And I want to say I met the best group of people having the procedure. You are not alone in this. I decided to go alone to save some money on the trip and had no issues because of all the great people I met doing the same thing...Good luck to everyone and I FEEL SO GOOD ABOUT MYSELF FOR DOING THIS