His name has been involved in the command of at least eight paramilitary groups that perpetrated several massacres such as Mapiripán. On September 24, 2002 Salvatore Mancuso and Juan Carlos Sierra Ramirez were formally charged by the Colombian and the American governments for narcotrafficking. The US Government applied for his extradition to the United States in order to be judged by an American court. Marcuso was so unconcerned about it that he attended the ceremony of the "Bloque Bananero"'s demobilization, following the peace process with the Colombian State on November 24, 2004. The extradition application was initially accepted by government of Colombia, but soon was suspended to complete the demobilization process of the AUC. Mancuso demobilized officially and surrendered to the Colombian authorities in the "Bloque Catatumbo"'s demobilization ceremony on December 10, 2006. Gonzo author Matthew Thompson describes his 2006 meeting with Mancuso in Montería in "My Colombian Death" (2008).