Hello and thank you for your question. This is a question that comes up often and the answers are going to be somewhat repetitive. However again I would caution you against medical tourism. Other than cost there are certain risks that you have to account for whenever having cosmetic surgery. Should you encounter any type of complication ( infection, bleeding, seroma, ischemia, open wound, blood clot, etc ) A surgeon who is 1000+ miles away is not going to be able to help you manage these issues. Having surgery in a country where the electricity only runs for part of the day is highly risky for your safety and well-being. Further, it will be difficult for you to obtain post operative care here by a plastic surgeon. Most plastic surgeons would prefer not to take on the risk and liability of someone else's mistakes. Any surgeon who takes on the after care will be in his or her right to charge for such services. These fees will likely erase the cost savings of traveling for surgery. A simple Google search will reveal multiple complications and deaths associated with cosmetic surgery done in the Dominican Republic. All surgery contains certain risks. Even when done in a state-of-the-art modern facility in this country you still encounter risks. Why would you want to increase those risks? Even though surgery in this country is going to be more expensive, you will at least have the peace of mind knowing that your board certified plastic surgeon is fully trained and experienced and is a phone call away to help you should the need arise. There are also multiple financing options to help make this more affordable for you. Best to you.