You would like...* is a literal English equivalent of 'Usted desea'. The subject pronoun 'Usted' is the formal form of 'you' in the singular. The verb 'desea'means '[you] desire, like, want, wish'. Together, they're pronounced 'oo-STEH-deh-SEH-ah'.
*The phrase more loosely may be translated as 'What would you like' or 'How may I help you'.
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