I can't imagine how plastic surgeons are able to charge this amount for breast augmentation. The cost of maintaining a pristine OR with state of the art technology and staffing the OR with exceptional medical professionals is not inexpensive.Plastic surgeons will have different prices based on their education and training, as well as the results they are able to provide for their patients. Additionally, some low-priced plastic surgeons can cut a lot of corners when it comes to the surgical environment and surgical staff. This is not a wise way to save money. Other hard costs include the preoperative and follow up visits included in the fee, the post operative garment that we provide and of course the price of the breast implants and supplies used during surgery.During a surgical procedure myself, a board certified anesthesiologist, certified surgical techs and RN's will be in the room. Part of the surgical team will include medical professionals who are not in the room but who will be involved in your care, like pre-operative nurses, -RN’s providing post anesthesia care, an RN outside the OR to provide assistance for breaks, and of course a certified strerile processing professional and an OR director overseeing the operations of the OR.Maintaining a pristine accredited OR is also expensive. Believe it or not, plastic surgery is often performed in non-accredited environments. Just like plastic surgery can be performed –legally, by pohysicians with absolutely no training in surgery and no hospital priveleges to perform the surgeries they perform, surgery is being performed in non-accrediated environemts. Look for accreditation from The Joint Commission and / or AAASFIt is also important to be sure that your plastic surgeon has hospital priveleges at local hospital in the event of an unforeseen medical issue that could possible require the expertise of other specialists. While this is a very rare occurrence with appropriate patient selection, it is important to cover every base for safety.Ask the right questions, check out your surgeon and look at lots and lots of photos. Compromising your health, well being and appearance is not the way to save money.