Thank you for your question. The issue of whether you can find a good plastic surgeon in Puerto Rico is not the issue, as I am sure there are qualified well trained surgeons there. The question is if you have a complication, would you be able to easily see your surgeon? Would you have ready access if an issue arises? There is a saying of penny wise, pound foolish, and choosing a surgeon for cost may fit into this category. If you save a few dollars by finding the cheapest surgeon, you may be sacrificing quality of result, but more importantly if something happens you may be spending more traveling back and forth to Puerto Rico or wherever to get the proper care, or end up going to a plastic surgeon near you anyways. Best to establish your care with a board certified plastic surgeon near you so that you can get the best possible care and attention such that you get the best result. All the best,