Self pay in Mexico. I loved the service, I see why their infection rates are so much lower than in the US. They don't do crap we do in the US mainly to cover their butts in case of lawsuits. Bigger rooms, less equipment means fewer places for germs. They mop three times a day. I picked a great surgeon who also teaches in the US. It is a great option if you:
Can self educate on nutrition and care.
Have no risk factors (drugs, blood pressure, heart, liver problems).
So for less than $5000 was able to get it done and the results have been great.