My sister and I both got our VSG with Dr. Joya on 11/11/09 and we are both doing GREAT! I have lost 42 lbs total since then. The experience with Dr. Joya, his staff, the hospital, the resort was wonderful. I would definitely recommend him! Puerta Vallarta was beautiful also and I want to go back for a 'real' vacation! PM me with any specific questions...