It's not only the price, but it is the service, environment, and expertise. I am an Critical Care Nurse practitioner. I have been researching this for over a year. I could of done mine here in Miami for 10k, but none of the groups around me were a Center of excellence, most centers near me also performed these WLS in normal hospitals. Big turn off. Hospital acquired infection rates are at an all time high. I feel much better knowing that the center that I'm having mine done does only WLS... That's it. So no chance of a flu outbreak, catching something from another patient due to poor staff hand hygiene, etc. Also these centers specialize in this and they not only provide the surgery but the full service and experience. It almost feels like luxury but affordable. They depend on people like us to keep business running so they're work is top notch. But of course you'll have to really think about what is best for u.