Dr. Luis Reyes, left, watches a monitor while moving a patients liver away from his stomach with help from surgical assistants Joey Reyes, behind, and Angie Sosa before performing a plication, at type of bariatric surgery, using laparoscopic instruments at the McAllen Heart Hospital in McAllen, Texas. A plication is a newer form a weight loss surgery in which the stomach is folded and sewn together to make it smaller.
photo by Nathan Lambrecht