Hello, I was self pay and I am 7 weeks out of surgery. I had the surgery in Idaho at a wonderful facility and great program. I had a BMI of 35.7, no co-morbidities, no medications, etc. I explained the diets I have done in my life and he scheduled my surgery that day. I paid $20K, but I had a friend pay about $17K 5 years ago, and since it was only 10 min from my house and they have an awesome after care program, classes, 3 month of free dietician and work outs 2x weekly with a personal trainer, etc I went for it! Good luck to you! I think going to Mexico sounds scary! (to be that far from home... anything closer to home, is Mexico cheaper?)