I am in the same boat as you. I have researched, read, scoured the internet for information, and I've called many places. I've come to the conclusion that many other self-payers who are aprehensive about going to Mexico have: Dr. Kirshenbaum in Colorado is for me. I hear nothing but wonderful things about him, and the whole surgery experience (surgery fees, anesthesia, surgeon, 3 fills, and support group) is $9950. I've already spoke with his office once and plan to do my consultations with the nutritionist and the doctor in mid-March. They do them over the phone so that long distance patients don't have to make a bazillion trips. It is less expensive for me to go to him for my surgery and aftercare, including travel and lodging, than it is for me to have the surgery done locally. You may want to research in advance if any docs in your area are willing/able to provide any urgent aftercare needs or fills if you decide not to travel back and forth for fills. I hope your search goes well! Keep us posted on what you decide!