It's not all about the cost for surgery here in the states or in Mexico. It's about getting the nutritional help you'll need after surgery as well. Here in the States you can get the nutritional help you need for two years following surgery. They help you through emotional eating and all the other problems with eating that got you heavy in the first place. It's included in the price of the surgery. If you think you can have this surgery and never gain weight again your mistaken. I know because it started happening to me and if I didn't have the help from the Nutritionists afterwards, It would of all been in vain. You can only get that kind of help when you have your surgery here in the states. I had mine done by Dr. Peter Billing in Edmonds, WA and it came with 2 years of Nutritional counciling. Never go without it, it saves your life.