Sure, you can pay cash for an elective cosmetic operation, but it begs the question that if you have bad credit and no credit card (with a high enough limit for cosmetic surgery), where are you getting the cash? If you've saved up the thousands of dollars for BBL surgery and yet haven't paid other bills (bad credit?), then you really aren't an appropriate candidate for elective surgery. It's like paying for cosmetic surgery and then griping that medical assistance won't "cover" your medication prescriptions.Please reconsider having surgery until your financial situation improves enough to have good credit and appropriate means for elective surgery. You'll especially be glad you followed this advice if you have a complication that requires more time, money, or concern, even though they are rare. Best wishes! Dr. Tholen