Gastric Sleeve Surgery is a popular treatment for patients suffering from obesity and who want a healthier life. Bariatric surgery in Turkey like Gastric bypass Turkey and Gastric Sleeve treatment are usually the last alternative for overweight patients.
Your doctor will recommend other less invasive methods to lose weight, like a gastric band or changing your diet and exercising. But a gastric sleeve is a better solution if your weight remains the same after the lifestyle changes.
When you travel to Turkey for weight loss, you will meet many top-of-the-line surgeons with experience and understanding of international patients' needs. Gastric sleeve Turkey Istanbul is considered one of the best place in Turkey for gastric sleeve
The main reason many patients from the US, UK, and Europe travel abroad to have gastric sleeve surgery is to reduce the cost of the treatment. Most patients can't afford to do gastric sleeves in their native country. The average cost of gastric sleeve surgery in the UK is 12,000 GBP. Compared to abroad. Turkey gastric sleeve price costs %50 less.
Finding the right surgeons is vital to ensure you experience the best bariatric surgery in Turkey. You can easily find the best hospital in Turkey for gastric sleeve treatment. The surgeons have been in the field for years, and you can check their qualifications, experience, and the types of weight loss Turkey gastric sleeve surgeries they performed in the past.
Countries like Turkey are medical tourism hubs. They regularly deal with international patients. If the doctor has weak English proficiency, these clinics provide a translator as part of their service to ensure you have the best gastric sleeve surgery Turkey.
Finding a specialist in Turkey for sleeve weight loss surgery will be more cost-effective than visiting an amateur doctor in your local country. You can access the best doctor for gastric sleeve in Turkey.
Some patients prefer an agency to plan their treatment abroad. It gives you relief to focus on your recovery. The agency will prepare a customized trip that fits your needs. The gastric sleeve Turkey package will include flight, accommodation, and airport transfer.
The average gastric sleeve Turkey cost is €2850 - €3500. However, some factors increase the gastric sleeve Turkey price, like the location of the clinics, the surgeon's experience, the technique used, and the type of treatment.
You're an ideal patient for gastric sleeve surgery Turkey if you suffer from morbid obesity and have a BMI gastric sleeve of more than 32. And you have a significant weight-related health condition that may put you at risk.
When it comes to choosing a destination for gastric sleeve surgery, Turkey stands out as a premier choice for medical tourists seeking high-quality, cost-effective solutions. Among the numerous options available, Flymedi Gastric Sleeve Turkey offers a distinctive approach that sets it apart from the rest. Here's why:
Flymedi Gastric Sleeve Turkey partners with over 50 top-tier clinics across Turkey, each rigorously accredited and regularly monitored to ensure they meet the highest standards of medical care. This extensive network allows patients to select from a variety of skilled surgeons, each bringing a unique, expert approach to the gastric sleeve procedure. Unlike other destinations where procedures can vary significantly from one doctor to another, Flymedi ensures consistency and excellence in surgical outcomes.
Understanding that each patient's health needs are unique, Flymedi Gastric Sleeve Turkey emphasizes a personalized treatment plan. By comparing performance metrics across a broad network of specialized doctors, Flymedi guides patients to the most appropriate surgeon for their specific condition. This tailored approach not only enhances the success rate of the surgeries but also ensures that each patient receives care that best suits their medical and personal needs.
One of the key considerations for many considering gastric sleeve surgery abroad is cost. Flymedi Gastric Sleeve Turkey not only offers competitive pricing but also transparent cost structures. When wondering "how much is a gastric sleeve in Turkey?" patients find that Flymedi provides clear, upfront information, with no hidden fees, making financial planning for the procedure straightforward and stress-free.
Safety is a paramount concern for medical tourists. Flymedi's commitment to safety is evident in its strict partnership criteria: every clinic in the Flymedi network is accredited by reputable international medical bodies. This ensures that all medical practices and procedures meet global standards, providing peace of mind to patients traveling to Turkey for gastric sleeve surgery.
Flymedi Gastric Sleeve Turkey's services extend beyond the operating room. From initial consultations through to post-operative care and follow-up, Flymedi ensures a holistic care experience. This comprehensive support helps patients focus on recovery and weight loss without the stress of managing logistical and medical issues alone.
Turkey has become a hub for gastric sleeve surgery due to its combination of experienced surgeons, cutting-edge technology, and affordable prices. Additionally, the country offers an attractive destination for tourists, allowing for a comfortable recovery in a scenic setting. With Flymedi, patients receive the added benefit of carefully selected clinics that prioritize patient care and successful outcomes.
For those considering a gastric sleeve procedure, Flymedi Gastric Sleeve Turkey represents a superior choice, blending expert medical care with comprehensive patient support. With its network of accredited clinics and commitment to high standards, Flymedi ensures that your journey towards a healthier, happier life is in the best hands. Choose Flymedi Gastric Sleeve Turkey for a transformative experience that prioritizes your health, safety, and satisfaction.
Once you decide on a clinic, we will plan and arrange a gastric sleeve Turkey all inclusive package. To suit your personal preferences and match you with the best doctor for gastric sleeve in Turkey.
A gastric sleeve, or sleeve gastrectomy, is a surgical weight-loss procedure where approximately 75-80% of the stomach is removed, leaving a tube-shaped sleeve. This reduces the stomach’s capacity, leading to less food intake and promoting weight loss. It also affects hunger-related hormones, often decreasing appetite. This procedure is typically recommended for individuals with obesity when diet, exercise, and other interventions have been insufficient.
Following Turkey weight loss surgery, you must spend a few days in the hospital to monitor your Gastric sleeve surgery Turkey recovery. The doctor will monitor your vital signs, provide pain management, and administer any necessary medication during this time. Once you are ready to be discharged from the hospital, the doctor will give specific instructions during recovery.
Expect full recovery after 6 - 8 weeks from the procedure. You can return to work two weeks after the surgery. Follow your doctor's dietary guidelines. It would be best to start by consuming smooth and soft foods, then progress to eating more solid food.
Managing pain and discomfort is essential to the recovery process after gastric sleeve surgery Turkey. The pain medication will help you to manage any discomfort you may experience during the first few days of recovery. Your doctor may also recommend avoiding certain foods or beverages during this time to prevent nausea and vomiting.
Nutrition and diet are crucial components of post-operative care in Turkey. Immediately following surgery, the doctor will advise you to follow a liquid diet for several days before slowly transitioning to soft and solid foods.
You are also encouraged to eat small, frequent meals throughout the day and to avoid consuming large amounts of food at once. A registered dietitian may be involved in the process of care to guide proper nutrition and healthy eating habits.
Your doctor may recommend physical therapy to help patients regain strength and mobility. Your physician may also recommend exercise and physical therapy during the post-operative recovery. You are encouraged to engage in light physical activity such as walking, stretching, or gentle yoga to promote blood flow and aid in healing.
You should change your diet and exercise habits to promote long-term weight loss and overall health. Lifestyle changes are also essential for aftercare and support following gastric sleeve surgery. You may also benefit from joining support groups or counseling to address any emotional or psychological challenges associated with weight loss.
The gastric sleeve procedure is performed under general anesthesia and typically follows these general steps:
After the procedure, patients are generally required to follow a strict diet that starts with liquids, progresses to pureed food, and eventually solid foods. It allows the new stomach to heal properly without being overstretched.
Gastric surgery Turkey procedure requires a lifelong commitment to a healthy diet and lifestyle. Regular follow-up visits with the healthcare team are critical to monitor the patient's nutrition, mental health, and overall well-being.
As you navigate your weight loss journey, considering gastric sleeve surgery is a significant step towards achieving your health goals. Selecting the right country to undergo this procedure is paramount, and cost is critical in this decision. Comparing Turkey and the UK can offer insights into making an informed and economically sound choice.
At first glance, you will notice a substantial difference in the cost of gastric sleeve surgery between Turkey and the UK. Gastric sleeve surgery Turkey offers a competitive advantage, often significantly lower than those in the UK, largely due to the difference in living standards, labor costs, and operational expenses in healthcare facilities.
Delving deeper, you must understand that this cost disparity does not inherently mean a compromise on quality. Turkey has invested robustly in its healthcare infrastructure, emerging as a popular medical tourism destination. However, it is crucial for you to diligently research and ensure the chosen facility maintains international healthcare standards and employs the best doctor for gastric sleeve in Turkey.
When analyzing gastric sleeve surgery Turkey price, ensure you consider all potential additional expenses. While the surgery's base price may be lower in Turkey, consider the costs related to travel, accommodation, and any post-operative care or treatments that may not be included in the initial quotation. In contrast, the UK's pricing might be more inclusive, encompassing various aspects of care, thereby providing a comprehensive healthcare package.
Using the National Health Service (NHS) or private health insurance in the UK can alleviate some financial burdens, depending on eligibility and coverage. However, in Turkey, international patients might have to rely on travel insurance or out-of-pocket expenses, necessitating thoroughly examining your financial provisions and insurance coverages to afford gastric sleeve cost Turkey.
Remember, investing in gastric sleeve surgery is investing in your long-term health and well-being. While gastric sleeve Turkey prices is a significant factor, prioritizing quality of care, surgeon expertise, and hospital accreditation is equally, if not more, important. Strive for a balance between cost-effectiveness and quality assurance to ensure your investment yields the desired health outcomes.
Choosing between Turkey and the UK for your gastric sleeve surgery is a decision that requires careful consideration of various factors, with gastric sleeve turkey price being a pivotal one. By thoroughly examining all potential expenses, understanding the nuances in healthcare quality, and assessing long-term benefits, you can choose to align with your health goals and financial well-being.
Choosing Turkey for your gastric sleeve surgery can be cost-effective, but exploring additional strategies to manage your expenses wisely is important. Here are several tips to help you reduce the cost of your procedure without compromising on quality or safety.
Efficiently reducing the costs of gastric sleeve surgery in Turkey requires a balanced approach, focusing not only on the procedure's price but also on ensuring quality and safety. By conducting thorough research, negotiating effectively, and planning for all associated expenses, you can make the most of the financial benefits Turkey offers for medical tourism, all the while prioritizing your health and well-being.
When considering the best gastric sleeve surgery Turkey, several cities and hospitals are renowned for their high-quality healthcare services and medical expertise in bariatric surgery. While individual preferences and needs will guide your choice, here are some noteworthy locations and facilities that have garnered acclaim:
Choosing the best place in Turkey for gastric sleeve surgery is subjective and depends on individual preferences, needs, and priorities. Istanbul, Ankara, Antalya, and Izmir are prominent cities with reputable hospitals specializing in bariatric surgery. Regardless of your choice, it's essential to research thoroughly, consider patient reviews, verify accreditations, and ensure that your chosen facility aligns with your healthcare expectations and standards.
One of the main reasons many opt for surgery in Istanbul is its cost-effectiveness. We'll break down the financial aspect for you and explain why it's more affordable in Istanbul.
The average stomach reduction surgery cost in Istanbul is €2850 - €3500. However, some factors increase the gastric sleeve price, like the location of the clinics, the surgeon's experience, the technique used, and the type of treatment.
Choosing to have gastric sleeve surgery in Istanbul is a decision that can change your life. We'll leave you with final thoughts to help you make an informed decision about this transformative journey.
When choosing agastric sleeve surgery antalya Turkey, you should look out for the following:
The Gastric Sleeve Antalya Package
You must make sure that you are getting a good package for your gastric sleeve in Antalya procedure. Look out for all-inclusive packages so you have a great time and an excellent procedure at significantly lower costs.
Weight Loss Surgery in Antalya's Price
Gastric sleeve in Antalya is extremely cost-efficient and you should be on the lookout for the price of the procedure. If a clinic is offering the procedure at exuberant prices, do not settle. Move on to other clinics for a better price.
Weight Loss Surgery in Antalya's Reviews
Always read the clinics in Antalya’s reviews to ensure that the clinic lives up to everything it promises. If the reviews are mostly negative and the patients are complaining about the results of the procedure or the rudeness of the staff, then you should avoid that clinic.
The cost of a gastric sleeve in Antalya is approximately €2850 - €3000, significantly lower than that in other European countries.
Gastric band surgery is a less invasive weight loss procedure that uses small cuts in the abdomen. The surgeon inserts a thin tool with a camera, called a laparoscope, to view the inside of the body and perform the operation. A silicone band is placed around the upper part of the stomach to create a small pouch. This band can be adjusted to control how much food the stomach can hold, helping people eat less and lose weight.
The cost of gastric band surgery in Turkey averages around €5000. Some clinics offer special packages that include surgery, hotel stays, and transportation, making the overall cost even more affordable.
Gastric band surgery in Turkey best suits individuals who meet certain criteria. Ideal candidates are those with a Body Mass Index (BMI) of 40 or higher or 35 or more if they have obesity-related health issues like diabetes, high blood pressure, or sleep apnea. Candidates should be mentally and physically healthy enough to undergo the surgery and must have tried to lose weight through diet, exercise, and lifestyle changes without success.
Gastric band surgery reduces the size of the stomach by placing an adjustable band around its upper part, creating a small pouch. This limits how much food a person can eat at one time, helping them feel full with smaller portions. The band can be adjusted by adding or removing a saline solution through a small port under the skin, allowing for gradual and personalized weight loss.
Many doctors have stopped recommending gastric band surgery due to its long-term effectiveness and complications. While it was once a popular weight-loss procedure, studies have shown that other surgeries, like sleeve gastrectomy, provide better and more lasting results. Gastric bands can cause complications such as slippage, erosion, and infection. In addition, some patients may not experience significant weight loss or may regain the weight over time. As a result, doctors now prefer alternative procedures that offer greater success and fewer risks.
Some patients prefer to have other cosmetic procedures after massive weight loss; these complementary procedures include:
Minimally invasive means that instead of operating on patients through large incisions, surgeons use multiple 0.5-1 cm incisions and special surgical instruments to perform the surgery.
A laparoscope, a long, thin tube with high-intensity light and a high-resolution camera at the front is inserted through one of these small incisions, allowing the surgeon to view the procedure on a screen.
Compared to open surgeries, the advantages of minimally invasive procedures include reduced pain due to smaller incisions, less blood loss, reduced risk of infections, shorter hospital stay, quicker recovery, and less scarring.
However, like any surgical procedure, it carries risks in the short term (such as infection, blood clots, and surgical complications) and in the long term (such as malnutrition, gastric reflux, and mental health conditions).
Gastric sleeve surgery Turkey is only one part of a comprehensive weight loss program. Even after surgery, you need to follow strict dietary guidelines, get regular exercise, and may also need counseling to help change behaviors that led to obesity in the first place.
Regular follow-ups with the healthcare team are critical to monitor weight loss and manage any side effects from the surgery.
Turkey's healthcare system has undergone significant transformations in recent years, bringing it to the attention of global observers. Here are a few characteristics that make it special:
Despite these strengths, like any healthcare system, Turkey also has areas for improvement. Access to and the quality of healthcare can still vary, especially between urban and rural areas, and ensuring the sustainability of universal health coverage can be a challenge given economic fluctuations and other factors.
Gastric sleeve surgery, or sleeve gastrectomy, is a weight-loss surgery that can offer numerous benefits to those severely overweight or obese. Here are some of the primary benefits of this procedure:
Some of the possible reactions you can develop after gastric sleeve in Turkey include:
Most patients report 65% weight loss after the procedure, and gastric sleeve surgery has high a success rate.
A week after surgery, you should follow only a liquid diet. Also, avoid taking soft or solid food after one week from gastric sleeve surgery in Turkey. Solid foods may cause stapler line opening and leakage after surgery.
You can eat liquid foods, low-calorie, low-fat soups, jellies, and protein drinks during this period. The liquid foods consumed must be low-calorie and fat-free.
At this stage, you can eat mashed foods. You can eat mashed meat, potatoes, and most fruit puree. But excess food intake can cause discomfort and vomiting.
Consider a low-calorie and fat-free diet. Avoid foods such as processed sugar and concentrated fruit juice, as well as the consumption of carbonated drinks.
You can eat soft foods, cheese, and well-cooked vegetables. The time between meals should be longer than 4 hours.
After four months, you can gradually and regularly switch to a normal diet. That includes eating meat, eggs, and vegetables. However, your body may not tolerate carbohydrates like rice, pasta, and bread for a few more months.
Caloric intake can be increased to 1000-1200 after you have achieved the expected weight loss goal. However, it is possible to add or remove certain foods from the diet according to the individual's tolerance level.
In addition to establishing a diet, you should be ready for a certain amount of regular exercise before and after surgery. It will increase the expected weight loss and prevents weight gain.
The procedure involves the insertion of a camera through the mouth down the patient's gastrointestinal tract. Similar to surgical sleeve gastrectomy, endoscopic sleeve gastroplasty's goal is to reduce stomach size. With the position of sutures marked before the procedure commences.
The doctor inserts the beak-like suture device into the camera into the gastrointestinal tract. Finally, the stomach is sewn front and back into a u-shape until an acceptable size. The ESG procedure lasts for approximately 90 minutes.
Like other surgical procedures, endoscopic sleeve gastroplasty patients may experience some complications after the procedure. The common endoscopic sleeve gastroplasty risks include:
Most patients report 60% of weight loss a year after the endoscopic sleeve gastroplasty.
Procedure |
Gastric Sleeve |
Duration |
2 hours |
Stay |
7 nights hotel |
Cost in Turkey |
€2850 - €3500 |
Anesthesia |
General anesthesia |
Recovery |
6 to 8 weeks |
Final Results |
12 months - 18 months |
Side Effects |
Malnutrition, vomiting, low blood sugar |
Risks |
Bleeding, infection, blood clots, leakage of digestive contents |
Success Rate |
65% of weight loss |
Exercise |
After 6 months |
Back To Work |
After 4 - 6 weeks |
Scars |
No |
Pain |
Slight |
Related Procedures |
Gastric Bypass, Gastric Balloon |
Gastric sleeve surgery, also known as sleeve gastrectomy, is a weight loss surgery that involves removing a portion of the stomach to reduce its size and limit the amount of food it can hold. During the procedure, a surgeon removes approximately 75-80% of the stomach, leaving a sleeve-shaped tube about the size and shape of a banana.
Yes, weight loss surgeries are safe in Turkey because surgeons are highly experienced with years of practice. Their clinics are accredited by renowned institutions like Joint Commission International JCI or International Organization for Standardization ISO.
Gastric sleeve cost Turkey is cheap because the living cost and labor costs are inexpensive compared to the UK or the USA.
Gastric Sleeve surgery in Turkey is effective six years after the initial surgery. During this period, you can expect to lose 60% of your body weight.
The average gastric sleeve Turkey package ranges between €2850 - €3500. However, some factors increase the gastric sleeve Turkey price, like the location of the clinics, the surgeon's experience, the technique used, and the type of treatment.
The length of stay in Turkey after gastric sleeve surgery can vary depending on various factors, including the patient's needs, the type of surgery, and the surgeon's recommendations. Typically, patients will stay in the hospital for observation and recovery for one to three days following surgery.
Yes, after gastric sleeve surgery in Turkey, patients will eat a normal diet again.
Immediately following surgery, patients must follow a liquid diet for several days before gradually transitioning to soft and solid foods. During this time, you must follow specific dietary guidelines to ensure proper healing and prevent complications.
After gastric sleeve surgery, you will typically need to eat smaller, more frequent meals throughout the day and avoid consuming large amounts of food at once.
Most doctors might recommend patients avoid consuming alcohol for at least the first few months after surgery to allow the body time to heal and adjust to the changes made during the surgery.
Consuming alcohol, especially in large quantities, can negatively affect weight loss and overall health.
While gastric sleeve surgery can be an effective weight loss option for many people, it does have some potential downsides and risks. These include: Surgical complications, Nutrient deficiencies, Dumping syndrome, Weight regain, GERD, and Stomach stretching.
Gastric Sleeve in Turkey has several effects on the body, Reduces stomach size, Hormonal changes, Alters digestion, and Promotes weight loss. This weight loss can improve overall health, reduce the risk of obesity-related conditions (such as type 2 diabetes, high blood pressure, and sleep apnea), and enhance the quality of life.
Gastric sleeve surgery is a highly effective weight loss tool for many patients, but results can vary depending on individual factors. Most patients experience significant weight loss within the first 12-18 months following the surgery, often losing 50-70% of their excess body weight. However, it's important to remember that individual results may vary, and not everyone will achieve the same level of weight loss.
Gastric sleeve surgery is performed under general anesthesia, so the patient will not feel any pain. However, postoperative pain and discomfort are common after surgery, and the gastric sleeve is no exception.
VSG stands for Vertical Sleeve Gastrectomy. It's a surgical weight-loss procedure during which approximately 80% of the stomach is removed, leaving behind a narrow gastric "tube" or "sleeve." This procedure limits the amount of food your stomach can hold, which helps you feel full sooner and thus eat less. In addition to this, it also impacts gut hormones and gut bacteria, which may affect hunger and satiety.
Yes, VSG and gastric sleeve are the same. The terms are used interchangeably in medical contexts. Both refer to the surgical procedure of Vertical Sleeve Gastrectomy for weight loss.
The VSG diet emphasizes high protein intake, low sugar, low fat, and adequate hydration. Eat small, nutrient-dense meals and avoid calorie-dense and low-nutrient foods.
No, your stomach's capacity is significantly reduced post gastric sleeve, and overeating can cause discomfort and complications.
Yes, but the stomach can stretch over time if consistently overfilled.
Yes, we prepare our packages with 3 3-night hospital stays and patients are suitable to fly after this. If you would like to stay longer we can arrange a hotel stay for you.
Typically, significant weight loss continues for about 12-18 months post-surgery.
Generally, those with a BMI over 32 are eligible but additional information is required regarding any medical conditions and medication to confirm suitability for the procedure.
The 30-30 rule advises waiting 30 minutes after eating to drink fluids and taking 30 minutes to eat.
The waiting time can vary; it's best to check with the specific NHS trust for current waiting times.
Severe heart or lung disease, uncontrolled psychological conditions, or unrealistic expectations may disqualify a candidate.
Typically, a BMI of 40 or above, or 35 with comorbidities.
Costs vary, but on private, it can range from £5,000 to £15,000, depending on the procedure and hospital.
How much weight can you lose in 2 months after gastric bypass? Weight loss can vary, but on average, patients may lose around 20-30% of their excess weight in the first two months.
Initially, about 1-2 ounces per meal; this may gradually increase, depending on tolerance.
Generally, a BMI of 40 or above or 35 with comorbidities is required, but exceptions are based on individual health conditions.
It reduces stomach size to limit food intake and promote weight loss, affecting hunger hormones.
Some weight regain is possible, particularly if dietary and lifestyle recommendations need to be followed.
Yes, it can lead to overall weight loss, including belly fat.
The safest surgery varies by individual; generally, gastric sleeve and gastric banding are considered less invasive with lower risk, but risks and benefits should be discussed with a healthcare provider.
The stomach sleeve Turkey can stretch somewhat over time, particularly with consistent overeating.
Long-term, patients can maintain significant weight loss, but there is a risk of weight regain, nutritional deficiencies, and other health issues if lifestyle modifications are not sustained. Regular follow-up and monitoring are essential.
The surgery itself generally takes 1-2 hours. However, you should expect to be in the hospital for 2-3 days, including preparation and recovery time.
Weight loss varies among individuals, but typically, patients may lose between 5% to 10% of their initial body weight within the first month after surgery.
Gastric sleeve surgery combined with lifestyle changes, like a balanced diet and regular exercise, can help lose belly fat. Strength training and cardio exercises can be particularly effective.
On average, it takes 2-3 weeks for your stomach to heal after a gastric sleeve. However, full recovery and adjustment to your new stomach size may take several weeks to months. Always follow your surgeon's advice for the best recovery outcome.
You will only need to stay in Antalya for a week after your procedure. You can then travel back to your country if you think you can handle the flight and travel.
BMI is an acronym for Body Mass Index –which is a value derived from calculating one’s body fat, based on the relationship between height and weight. The formula to calculate the BMI is: weight in kilograms/height squared in centimeters
Endoscopic sleeve gastroplasty is a newer, minimally invasive weight-loss procedure that works by helping patients limit how much they eat.
The minimally invasive weight loss procedure minimizes the risk of operative complications. The patients enjoy minimum downtime and can resume their regular schedule sooner than they would if they underwent a surgical gastric sleeve operation Turkey.
Yes, endoscopic sleeve gastroplasty is safe because the surgeons are highly experienced with years of practice. Their clinics are accredited by renowned institutions like Joint Commission International JCI and the International Organization for Standardization ISO.
No, the procedure is completely reversible and does not permanently alter your anatomy.
Most insurance plans don't cover the operation, which is a primary reason that urges patients to travel abroad to seek it.
The best hospitals in Turkey for gastric sleeve surgery typically feature specialized bariatric surgery departments, experienced surgeons, comprehensive patient care, and modern facilities. Many are accredited by international healthcare organizations, ensuring high safety and quality standards. Look for hospitals that offer personalized care, post-operative support, and positive patient reviews.