If you believe the cost of your procedure is excessive, then you may choose not to do it. Prices of surgery depend on many factors. The real estate (sterile operating room) devoted completely to you for the duration of your procedure is one factor. The highly trained, skilled, professional licensed staff (surgeon, anesthesiologist, nurse(s), surgical tech) also all committed completely to you is another. Risk mitigation is expensive, and technology (endoscope(s), surgical equipment and supplies, fiberoptic light source(s), back-up equipment and power in case of malfunction) are also costly. Peri-operative care (pre and post-op visits) and individualized evaluation on a serial basis and maintenance of medical records documenting the entire process are time consuming, an additional investment of systems and resources. Additional supportive infrastructure ("hidden costs") like regulatory, utilities, and taxation increase prices. Still, whether or not all these costly elements will produce for you a sustained benefit and worthwhile investment of YOUR hard earned dollars is a decision that is yours alone.