I had no problems communicating with my surgeon in English and I found him to be straight to the point, so I felt confident in his qualifications and ability. The clinic was clean, and the staff were professional. I had originally thought of having surgery in México, but I am glad I chose Guatemala, and going through the Guatemala Medical Travel agency, because the service from the whole team was prompt and very helpful. Lori and Jade were both brilliant and I would certainly recommend them to anyone.