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أجرى الدكتور إسماعيل أفيلا أكثر من 3000 إجراء في جراحة المسالك البولية على مدار 39 عاماً، وهو متخصص في جراحات تأكيد النوع الاجتماعي. تبلغ تكلفة باقة عملية تجميل الفرج الأولية حوالي 13,900 دولار أمريكي - وتغطي عادةً الجراحة، والإقامة في المستشفى لليلة واحدة، والفحوصات المخبرية قبل العملية، والأدوية، والانتقالات المحلية. يحمل مستشفى دي لا فاميليا اعتماد المجلس المكسيكي للصحة العامة، ويعمل كمرفق طبي متميز بالقرب من الحدود الأمريكية. أسس الدكتور أفيلا وحدات لزراعة الأعضاء في باجا كاليفورنيا وشغل منصب المدير العام لمستشفى مكسيكالي العام.

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