Thoracic epidural anesthesia has been used - as an adjunct treatment - for complex breast reconstruction cases since the mid 1990s. However... and this is a BIG however, epidural anesthesia for breast cases takes a highly experienced anesthesiologist with advanced monitoring equipment. Historically, this type of anesthesia is done in larger hospitals, university teaching hospitals, or surgical centers demonstrating advanced training with this method of anesthesia. Depending on the medication administered through the epidural, the blood pressure can drop and muscles below the epidural may become weakened and fail to work. For instance, women may be temporarily unable to move their legs after an epidural for a C-section. The problem with thoracic epidurals - unless they are carefully placed - is that they can paralyze the diaphragm which gives us the ability to breathe. Would avoid this form of anesthesia, especially in a foreign country. Your best bet is to find a board certified plastic surgeon in your area and schedule a consultation for breast augmentation. Finally, "What is the blue pill?" Unfortunately, there are a great number of blue pills created by the pharmaceutical companies which include Viagra (for erectile dysfunction), Tylenol PM (for sleep), and tramadol (for non-narcotic pain control). That question is difficult to answer.