If you are paying out of pocket, I would contact Dr. Ortiz in Mexico. He did my surgery November 30, 2006 - here I am 9-1/2 months later - 105 lbs. lighter and feel like a different person. I checked with my local doctors who had far less experience and want more the twice the money. I think you will find that most of the people on this forum went to Dr. Ortiz and I really haven't seen any negative experiences. After a year of research, I made the decision last November, was in Mexico by the end of November having surgery by one of the most experienced doctors in this field. Although I wouldn't have been comfortable without researching everything, my biggest regret is that I spent a year researching everything. I could have been where I am now a year ago. Good luck.