I was very skeptical of the procedure and especially going to Tijuana but, i was impressed by the way the staff cared for us upon arrival to departure. It s not USA so don t expect to be coddled! You will have to have thick skin and be ready for the adventure. I ve lost 40lbs and I m only 4 weeks post op! I m happy about that but I m ready to be my old self again. I feel very restricted but each week it gets better! Don t know if i would do this all over again but i am enjoying the results!