Best Awards 2006, it was ranked the 9th best city in the world. That list was voted upon shortly before the 2006 Lebanon War broke out, but in 2008 The Guardian listed Beirut as one of its top ten cities in the world. The New York Times ranked it at number one on its "44 places to go" list of 2009. 2011 MasterCard Index revealed that Beirut had the second-highest visitor spending levels in the Middle East and Africa, totaling $6.5 billion. Beirut was chosen in 2012 by Condé Nast Traveller as the best city in the Middle East, beating Tel Aviv and Dubai. Many of the tourists are returning Lebanese expatriates, but many are from Western countries. Approximately 3 million visitors visited in 2010; the previous record was 1.4 million in 1974. Like other forms of tourism, medical tourism in Lebanon is on the rise recently. Although visitors from neighboring Arab nations make up the bulk of medical tourism patients here due to its proximity, Beirut is strongly trying to woo more Southern Europeans, Asians and North Americans to its land. Its Agency for Investment Development in Lebanon reports that growth in the medical tourism industry is growing by up to 30% a year since 2009. The country's tourism ministry is working closely with the medical sector and top-class hotels to create an organized, quality medical destination. Major hotel and spa chains work with local clinics, travel agencies and the tourism ministry to create comprehensive healthcare and recuperation packages for foreign visitors. The government is highly involved in this industry and strives to make the process as easy as possible. Cosmetic surgery is a major component of medical tourism in Lebanon. Most of the foreign patients come for routine operations like plastic surgery, dental or eye surgery, and Beirut's hospitals are also capable of performing specialized procedures such as internal bypass surgery and other technical treatments. Its top clinics and hospitals like Sahel General are equipped to handle the full range of surgical procedures. Beirut-based Clemenceau Medical Center (CMC), affiliated with Johns Hopkins International, was ranked one of the world's top ten best hospitals for medical tourism in 2012. Government Beirut is the capital of Lebanon and its seat of government. The Lebanese Parliament, all the Ministries and most of the public administrations, embassies and consulates are there. Beirut Governorate is one of eight mohafazat (plural of mohafazah, or