I'm still considering having my sleeve in Mexico but now I'm leaning towards the states partly because Mexico doesn't use narcotic pain relievers. I'm a baby and I don't do pain. The surgeon in the US said he gives you a pain pump right after surgery and sends you home with liquid lortab. All the Mexican Drs I've talked to say they send you home with trammadol type stuff for pain. To me a major surgery needs major pain relief!