There are several cultural differences between Hungary and the United States related to timekeeping, dates, names, weddings, and more. In Hungary, the week starts on Monday, dates are written with the year first, names consist of the family name followed by the first (Christian) name, engagement rings are worn on the left hand and moved to the right upon marriage, and book titles are printed bottom to top on spines. Major surgery is also free under Hungary's state medical system.