I live in Texas and I looked into Dr. Alvarez as well. He's closer to me, has a great reputation and he communicates with his patients all the time- which I love! I also loved how he has an annual reunion! I would love to meet up once a year and reunite with fellow sleevers, but once again the money issue. So, I researched some more and came across Dr. Aceves, who is about the same price as Alvarez. They offered the payment plan, so I figured this would be the perfect opportunity to go to a great doctor AND be able to afford it! And then my car breaks down. Realistically I need to save as much money as I can so I can replace it. So, I'm back to looking at surgeons in the 5,000 price range again.