My biggest concern was since this Doctor was one of the lower in cost that the service was going to be limited as well. I was wrong. From the time I was picked up from the airport, to the time I was dropped off. The professional staff was awesome. I checked in a private hospital with hotel rooms in building for guests. I was received by a very wise doctor that checked my vitals. Just like all surgeries I had my down moments but there was 24 hr nurses checking in with you. It felt just like an American hospital. It's been 8 months and I have no complaints or complications. Dr. Almanza was always there checking that all was ok. Great experience! The only thing I would have done different is bring a guest for help and support after surgery. Especially traveling back since your meals are limited.