:root {
  --ink: #1c1b19;
  --muted: #5e5954;
  --paper: #f7f4ef;
  --white: #fffcf8;
  --line: #e6e0d8;
  --accent: #2c463f;
  --accent-soft: #e6eeea;
  --max: 1120px;
  --header-h: 4.5rem;
  --serif: "Iowan Old Style", Palatino, "Palatino Linotype", Georgia, serif;
  --sans: "Avenir Next", "Segoe UI", Helvetica, Arial, sans-serif;
}

* { box-sizing: border-box; }

[hidden] { display: none !important; }

html { scroll-behavior: smooth; }

@media (prefers-reduced-motion: reduce) {
  html { scroll-behavior: auto; }
}

a:focus-visible, button:focus-visible, summary:focus-visible, input:focus-visible, textarea:focus-visible {
  outline: 2px solid var(--accent);
  outline-offset: 2px;
}

body {
  margin: 0;
  color: var(--ink);
  background: var(--paper);
  font-family: var(--sans);
  line-height: 1.6;
}

img { max-width: 100%; display: block; }

a { color: inherit; }

button, input, textarea { font: inherit; color: inherit; }

.skip {
  position: absolute;
  left: 1rem;
  top: -4rem;
  background: var(--white);
  padding: 0.5rem 0.75rem;
}

.skip:focus { top: 0.75rem; z-index: 40; }

.site-header {
  position: sticky;
  top: 0;
  z-index: 30;
  display: flex;
  align-items: center;
  gap: 1.5rem;
  padding: 0.85rem 1.25rem;
  background: rgba(247, 244, 239, 0.94);
  border-bottom: 1px solid var(--line);
  backdrop-filter: blur(10px);
}

.brand {
  display: flex;
  align-items: center;
  gap: 0.75rem;
  text-decoration: none;
  margin-right: auto;
}

.brand img {
  width: 42px;
  height: 42px;
  object-fit: cover;
  border-radius: 50%;
}

.brand-copy strong {
  display: block;
  font-family: var(--serif);
  font-weight: 500;
  font-size: 1.05rem;
  line-height: 1.15;
}

.brand-copy small {
  display: block;
  color: var(--muted);
  font-size: 0.72rem;
  letter-spacing: 0.04em;
}

.nav-toggle {
  display: none;
  background: transparent;
  border: 1px solid var(--line);
  border-radius: 999px;
  padding: 0.4rem 0.85rem;
}

.site-nav ul {
  list-style: none;
  display: flex;
  gap: 1.25rem;
  margin: 0;
  padding: 0;
}

.site-nav a {
  text-decoration: none;
  font-size: 0.92rem;
}

.site-nav a:hover { color: var(--accent); }

.header-cta { white-space: nowrap; }

.button, .button-ghost {
  display: inline-flex;
  align-items: center;
  justify-content: center;
  text-decoration: none;
  border-radius: 999px;
  padding: 0.75rem 1.2rem;
  cursor: pointer;
  border: 1px solid transparent;
}

.button {
  background: var(--accent);
  color: var(--white);
}

.button:hover { background: #233832; }

.button-ghost {
  background: transparent;
  border-color: var(--accent);
  color: var(--accent);
}

.hero {
  display: grid;
  grid-template-columns: 1.05fr 0.95fr;
  gap: 3rem;
  align-items: center;
  width: min(var(--max), calc(100% - 2.5rem));
  margin: 0 auto;
  padding: 3.5rem 0 2.5rem;
}

.eyebrow {
  margin: 0 0 0.8rem;
  color: var(--accent);
  letter-spacing: 0.14em;
  text-transform: uppercase;
  font-size: 0.75rem;
}

.hero h1, .section h2, .page-main h1 {
  font-family: var(--serif);
  font-weight: 500;
  letter-spacing: 0;
  line-height: 1.15;
}

.hero h1 {
  margin: 0 0 1rem;
  font-size: clamp(2.1rem, 4.4vw, 3.5rem);
}

.hero-actions { display: flex; flex-wrap: wrap; gap: 0.75rem; margin-top: 1.5rem; }

.hero-photo {
  width: 100%;
  height: min(72vh, 640px);
  object-fit: cover;
  object-position: 72% center;
  border-radius: 18px;
}

.facts {
  display: grid;
  grid-template-columns: repeat(3, 1fr);
  width: min(var(--max), calc(100% - 2.5rem));
  margin: 0 auto 1rem;
  border-top: 1px solid var(--line);
}

.facts div { padding: 1.25rem 1rem 1.25rem 0; }

.facts strong { display: block; font-size: 1rem; }

.facts span, .note, .form-note { color: var(--muted); }

.section { padding: 4.5rem 0; scroll-margin-top: calc(var(--header-h) - 1.5rem); }

.wrap { width: min(var(--max), calc(100% - 2.5rem)); margin: 0 auto; }

.section h2 { margin: 0 0 0.6rem; font-size: clamp(1.8rem, 3vw, 2.6rem); }

.intro { max-width: 62ch; margin-top: 0; }

.filters { display: flex; flex-wrap: wrap; gap: 0.5rem; margin: 1.4rem 0; }

.filters button {
  background: transparent;
  border: 0;
  border-radius: 999px;
  padding: 0.45rem 0.9rem;
  cursor: pointer;
  color: var(--muted);
}

.filters button.is-active {
  background: var(--accent);
  color: var(--white);
}

.compare-frame {
  display: grid;
  grid-template-columns: auto minmax(0, 1fr) auto;
  gap: 0.75rem;
  align-items: center;
}

.compare-nav {
  width: 48px;
  height: 48px;
  border: 1px solid var(--line);
  border-radius: 50%;
  background: var(--white);
  cursor: pointer;
  font-size: 1.6rem;
  line-height: 1;
  color: var(--accent);
}

.compare-nav:hover { background: var(--accent); color: var(--white); }

.compare-frame figure {
  margin: 0;
  background: var(--white);
  border-radius: 18px;
  overflow: hidden;
}

.compare-frame img {
  width: 100%;
  max-height: 70vh;
  object-fit: contain;
  background: var(--white);
}

.compare-meta {
  display: flex;
  justify-content: space-between;
  align-items: baseline;
  gap: 1rem;
  padding: 0.9rem 1.1rem 1.1rem;
}

.compare-meta h3 {
  margin: 0;
  font-family: var(--serif);
  font-weight: 500;
  font-size: 1.35rem;
}

.compare-meta p { margin: 0; color: var(--muted); }

.note { font-size: 0.9rem; max-width: 70ch; }

.services {
  display: grid;
  grid-template-columns: 290px minmax(0, 1fr);
  gap: 2.5rem;
  align-items: start;
  margin-top: 1.75rem;
}

.service-nav {
  display: grid;
  gap: 0.55rem;
  position: sticky;
  top: calc(var(--header-h) + 1.25rem);
}

.service-nav a {
  display: grid;
  grid-template-columns: 52px 1fr;
  gap: 0.8rem;
  align-items: center;
  padding: 0.45rem 0.8rem 0.45rem 0.45rem;
  border-radius: 14px;
  background: var(--white);
  box-shadow: 0 0 0 1px var(--line);
  text-decoration: none;
  font-family: var(--serif);
  font-size: 1.05rem;
  line-height: 1.25;
  transition: background 0.15s, color 0.15s;
}

.service-nav a:hover { background: var(--accent-soft); }

.service-nav img {
  width: 52px;
  height: 52px;
  object-fit: cover;
  border-radius: 10px;
}

.service-nav a[aria-current="true"] {
  background: var(--accent);
  color: var(--white);
  box-shadow: none;
}

.service-banner {
  width: 100%;
  height: 230px;
  object-fit: cover;
  border-radius: 18px;
  margin-bottom: 1.4rem;
}

.service-title {
  margin: 0 0 0.5rem;
  font-family: var(--serif);
  font-weight: 500;
  font-size: clamp(1.6rem, 2.6vw, 2.2rem);
  line-height: 1.15;
}

.service-intro { margin: 0 0 1.4rem; max-width: 62ch; color: var(--muted); }

.procs { display: grid; gap: 0.6rem; }

.proc {
  background: var(--white);
  border-radius: 14px;
  box-shadow: 0 0 0 1px var(--line);
}

.proc summary {
  display: grid;
  grid-template-columns: 52px 1fr 28px;
  gap: 0.9rem;
  align-items: center;
  padding: 0.7rem 1rem 0.7rem 0.75rem;
  cursor: pointer;
  list-style: none;
}

.proc summary::-webkit-details-marker { display: none; }

.proc summary::after {
  content: "+";
  display: grid;
  place-items: center;
  width: 28px;
  height: 28px;
  border-radius: 50%;
  background: var(--accent-soft);
  color: var(--accent);
  font-size: 1.2rem;
  line-height: 1;
}

.proc[open] summary::after { content: "\2212"; background: var(--accent); color: var(--white); }

.proc summary img {
  width: 52px;
  height: 52px;
  object-fit: cover;
  border-radius: 50%;
}

.proc h4 { margin: 0; font-size: 1.05rem; font-weight: 600; }

.proc p {
  margin: 0;
  padding: 0 1.1rem 1.1rem calc(0.75rem + 52px + 0.9rem);
  color: var(--muted);
}

.profile + .profile { margin-top: 5rem; }

.profile-banner {
  position: relative;
  margin: 0 0 2.25rem;
  border-radius: 20px;
  overflow: hidden;
  background: #1c2a27;
}

.profile-banner img {
  width: 100%;
  height: clamp(190px, 24vw, 280px);
  object-fit: cover;
}

.profile-banner::after {
  content: "";
  position: absolute;
  inset: 0;
  background: linear-gradient(90deg, rgba(18, 32, 29, 0.82) 0%, rgba(18, 32, 29, 0.4) 55%, rgba(18, 32, 29, 0) 100%);
}

.section .profile-banner h2 {
  position: absolute;
  z-index: 1;
  left: clamp(1.25rem, 4vw, 2.75rem);
  bottom: clamp(1.1rem, 3vw, 2rem);
  margin: 0;
  color: #fff;
  font-size: clamp(2rem, 4vw, 3rem);
}

.philosophy {
  display: grid;
  grid-template-columns: 1.1fr 1fr;
  gap: 3rem;
  align-items: start;
}

.lead {
  margin: 0;
  font-family: var(--serif);
  font-size: clamp(1.3rem, 2.2vw, 1.7rem);
  line-height: 1.45;
  color: var(--accent);
}

.prose p { margin: 0 0 1rem; }

.prose p:last-child { margin-bottom: 0; }

.training {
  display: grid;
  grid-template-columns: 1.45fr 1fr;
  gap: 3rem;
  align-items: start;
}

.steps {
  list-style: none;
  margin: 0;
  padding: 0 0 0 28px;
  border-left: 2px solid var(--line);
}

.steps li {
  position: relative;
  padding-bottom: 1.6rem;
}

.steps li:last-child { padding-bottom: 0; }

.steps li::before {
  content: "";
  position: absolute;
  left: -35px;
  top: 0.5rem;
  width: 12px;
  height: 12px;
  border-radius: 50%;
  background: var(--accent);
  box-shadow: 0 0 0 4px var(--paper);
}

.credentials-card {
  position: sticky;
  top: calc(var(--header-h) + 1.25rem);
  background: var(--accent);
  color: var(--white);
  border-radius: 18px;
  padding: 1.5rem;
}

.credentials-card p { margin: 0 0 1.25rem; }

.credentials {
  display: flex;
  gap: 1.25rem;
  align-items: center;
  padding-top: 1.25rem;
  border-top: 1px solid rgba(255, 252, 248, 0.25);
}

.credentials img { height: 88px; width: auto; }

.contact-grid, .places {
  display: grid;
  grid-template-columns: 1fr 1fr;
  gap: 1.25rem;
}

form, .place {
  background: var(--white);
  border-radius: 16px;
  padding: 1.25rem;
}

form { display: grid; gap: 0.7rem; }

label { font-size: 0.88rem; }

input, textarea {
  width: 100%;
  padding: 0.75rem 0.85rem;
  border: 1px solid var(--line);
  border-radius: 10px;
  background: var(--paper);
}

.place h3 { margin: 0 0 0.4rem; font-family: var(--serif); font-size: 1.4rem; font-weight: 500; }

.place a, .contact-side a { color: var(--accent); }

.contact-side a.button { color: var(--white); }

.contact-side { display: grid; gap: 1rem; align-content: start; }

.hospitals {
  padding: 3.5rem 0 4rem;
  border-top: 1px solid var(--line);
  border-bottom: 1px solid var(--line);
  background: rgba(255, 252, 248, 0.5);
}

.hospital-groups {
  display: grid;
  grid-template-columns: 2fr 1fr;
  gap: 2.5rem;
}

.hospital-group h2 {
  margin: 0 0 1rem;
  font-family: var(--serif);
  font-weight: 500;
  font-size: 1.3rem;
  line-height: 1.25;
}

.logo-grid {
  list-style: none;
  margin: 0;
  padding: 0;
  display: grid;
  gap: 0.75rem;
}

.hospital-group-mty .logo-grid { grid-template-columns: repeat(2, 1fr); }

.hospital-group-cdmx .logo-grid { grid-template-columns: 1fr; }

.logo-grid a {
  display: grid;
  place-items: center;
  height: 118px;
  padding: 1rem 1.5rem;
  background: var(--white);
  border-radius: 14px;
  box-shadow: 0 0 0 1px var(--line);
  transition: box-shadow 0.15s;
}

.logo-grid a:hover { box-shadow: 0 0 0 1px var(--accent); }

.logo-grid img {
  width: 100%;
  height: 72px;
  max-width: 250px;
  object-fit: contain;
}

.site-footer {
  padding: 2rem 1rem 5.5rem;
  text-align: center;
  color: var(--muted);
}

.social { display: flex; justify-content: center; gap: 1rem; margin-bottom: 0.5rem; }

.social a { color: var(--accent); text-decoration: none; }

.mobile-cta {
  display: none;
  position: fixed;
  left: 1rem;
  right: 1rem;
  bottom: 1rem;
  z-index: 25;
  background: var(--accent);
  color: var(--white);
  text-decoration: none;
  text-align: center;
  border-radius: 999px;
  padding: 0.9rem 1rem;
}

.page-main { padding: 2.5rem 0 4rem; }

.page-main h1 { font-size: clamp(2rem, 4vw, 3rem); }

.page-main p { max-width: 72ch; }

@media (max-width: 860px) {
  .nav-toggle { display: inline-flex; }
  .header-cta { display: none; }
  .site-nav {
    display: none;
    position: absolute;
    top: 100%;
    left: 0;
    right: 0;
    background: var(--paper);
    border-bottom: 1px solid var(--line);
    padding: 0.5rem 1.25rem 1rem;
  }
  .site-nav.is-open { display: block; }
  .site-nav ul { flex-direction: column; gap: 0.8rem; }
  .hero, .facts, .contact-grid, .places, .services, .philosophy, .training, .hospital-groups {
    grid-template-columns: 1fr;
  }
  .hero { padding-top: 1.5rem; }
  .hero-photo { height: 62vw; min-height: 260px; order: -1; }
  .philosophy, .training { gap: 1.75rem; }
  .credentials-card { position: static; }
  .services { gap: 0; margin-top: 1rem; }
  .service-nav {
    display: flex;
    gap: 0.5rem;
    overflow-x: auto;
    scrollbar-width: none;
    top: var(--header-h);
    z-index: 5;
    margin: 0 -1.25rem 1.25rem;
    padding: 0.65rem 1.25rem;
    background: rgba(247, 244, 239, 0.96);
    border-bottom: 1px solid var(--line);
    backdrop-filter: blur(10px);
  }
  .service-nav::-webkit-scrollbar { display: none; }
  .service-nav a {
    display: block;
    flex: 0 0 auto;
    padding: 0.5rem 0.95rem;
    border-radius: 999px;
    font-family: var(--sans);
    font-size: 0.92rem;
    white-space: nowrap;
  }
  .service-nav img { display: none; }
  .service-banner { height: 170px; }
  .proc summary { grid-template-columns: 44px 1fr 28px; gap: 0.75rem; }
  .proc summary img { width: 44px; height: 44px; }
  .proc p { padding: 0 1rem 1rem; }
  .hospital-group-mty .logo-grid, .hospital-group-cdmx .logo-grid { grid-template-columns: repeat(2, 1fr); }
  .logo-grid a { height: 88px; padding: 0.75rem 1rem; }
  .logo-grid img { height: 54px; }
  .mobile-cta { display: block; }
  .site-footer { padding-bottom: 6rem; }
}