Is it true that surgeons in the Dominican Republic don't give many post-op pain meds?

Be aware that if you are going out of the country to have cosmetic surgery (usually to try to save money), you will need to depend upon your surgeon in that country to give you all the information you need to properly prepare you for your surgery, to care for you during the immediate postoperative period at the level you would expect from a US surgeon, and that should you have questions or problems arise that they will manage them for you, and that if you suffer complications that you will need to return to that country for the complications to be treated. It may be very difficult for you to find a US surgeon willing to take on the responsibility for your care and to treat your complications after you return.

Ask your Dominican Republic surgeon this question.  It would not be wise for another surgeon that is not doing the surgery to prescribe pain meds for you.