Many people do not realize that the major fees for cosmetic procedures in places such as High Point North Carolina, Greenville South Carolina, Kearney Nebraska, and even Tulsa
Oklahoma, can be 1/2 the fees you see in New York, Los Angeles, Miami, etc. So, you can get a quality surgeon in Costa Rica, but the same applies for the US, and travel, lodging and post-operative care issues are so much simpler.