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If you are undecided about traveling to another country to have this procedure I hope this will ease your mind. I went on August 27,2015 scared out of my mind. It is for sure not the modern hospitals like in the states but very clean, staff very professional and helpful. I have had friends go and done great and some that have not . I'm on the great side. You must follow the rules to a T do not cheat or skip any of the eating steps and you will do fine . I'm 3 months post op and down 53 lbs I'm very happy with the results . Good luck and God bless..