I was banded by Dr. Ortiz about 7 years ago in Tijuana. If I had it to do again, I would have had it done in the US. Nothing against Dr. Ortiz, he was professional, speaks perfect English etc. For me, there was a difference between medical care in Mexico vs. the US. For instance, I had to tell the nurses and lab tech to please put gloves on when they were taking blood from me. At the time, that wasn't standard protocol in that clinic (it may be now). Also, the nurses would come in to give me a shot, when I would ask them what it was, they didn't know. Obviously I didn't take the shot until someone could come in and tell me what they were injecting. We're spoiled here in the US. Everything is very sanitary and professional, for me there definetely was a difference. ALso, fills are a hassle as I have to go back to him. Hence, I've only had 1 fill since my banding. Luckily I've always had good restriction. However, I'm experiencing complete restriction now. Just started on Monday, so I'm trying to work with Kaiser in hopes that they can correct whatever is wrong. So, if I had it to do over again, I would have had it done here. I was self pay as I was a low BMI patient, but I think it would have been worth the extra money. Just my two cents.