Medical tourism is getting to be a big business as medical costs have risen in the United States by quite a bit, and people who want or need surgery that is elective, or their insurance carrier won't cover the cost. Going to countries where the cost of medical care is lower makes sense because one can combine a procedure with a vacation. Plastic surgery is a good one to consider out of the country because the cost here is in the stratosphere. Going to a country like Panama for less expensive procedures makes a lot of sense if you want to get a lower cost for your surgery, and see this beautiful country, at the same time.
Cosmetic surgery in Panama costs about 50% of what it does in the US, and the Panamanian currency is the US dollar, so there are no unfavorable exchange rates. Panama itself is a beautiful country, and has some of the finest beaches in Central America. The clinics and hospitals that offer cosmetic surgery employ US trained doctors and their equipment is just as modern and up to date as what is found in American hospitals.