Many lasers are manufactured overseas; and while some of these lasers are basically counterfeit, this is not the main issue in regards to safety for you as a patient. That is more of a protection of patent issue and the fact that they are neither FDA Approved or Cleared to prove safety and effectiveness. The major safety issue for people consider is choosing where and who will be doing your laser treatments. It is important to chose a reputable clinic to do your laser treatments, not only to make sure you are safe and that people are well trained but also to make sure that you get the most effective treatment. You could go to a place that advertises cheaper laser treatments, but that may mean you could need more treatments to get the best results. Dr. Quenby Erickson