MEMORANDUM **

Roberto Renteria-Hurtado appeals from the district court’s judgment and challenges the 48-month sentence imposed following his guilty-plea conviction for being a removed alien found in the United States, in violation of 8 U.S.C. § 1326. We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

Renteria-Hurtado contends that the district court erred by failing to consider all of the 18 U.S.C. § 3553(a) sentencing factors, including the Sentencing Guidelines range and the circumstances of medical necessity that motivated his illegal reentry, and by relying on impermissible sentencing factors. We review for plain error, see United States v. Valencia-Barragan, 608 F.3d 1103, 1108 (9th Cir. 2010), and find none. The record reflects that the district court properly considered all of the relevant sentencing factors, including the Guidelines range and Renteria-Hurtado’s personal circumstances, and relied only on permissible factors.

Renteria-Hurtado also contends that the district court imposed a substantively unreasonable sentence by placing undue weight on the need for deterrence. The district court did not abuse its discretion in imposing Renteria-Hurtado’s sentence. See Gall v. United States, 552 U.S. 38, 51, 128 S.Ct. 586, 169 L.Ed.2d 445 (2007). The above-Guidelines sentence is substantively reasonable in light of the 18 U.S.C. § 3553(a) sentencing factors and the totality of the circumstances, including Rente-ria-Hurtado’s apparent willingness to reof-fend despite his nine prior removals and five prior custodial sentences for unlawful reentry. See id.; see also United States v. Gutierrez-Sanchez, 587 F.3d 904, 908 (9th Cir. 2009) (“The weight to be given the various factors in a particular case is for the discretion of the district court.”).

AFFIRMED.