Avoid the chance of having an adverse outcome by using a medical advocate. Medical mistakes happen because of lack of communication. If the patient has an outspoken “watchdog” confirming and scrutinizing every move from the initial consultation right through 100% recovery and voyage home, the chance of someone making a mistake is almost zero. Besides, the doctors are so exceedingly cautious because they know that the outcome of their work affects the impression of the entire country of Guatemala to the rest of the world. Foreign patients are absolute VIP’s, receiving extraordinary attention from the G.M.T. agents, surgeons, hospital administration and everyone else in between.