I started this thread so wanted to also give the result. I met with about 10 plastic surgeons who were recommended to me by friends and friends of friends - all spoke english. I did not go through an medico tourism agencies. I am not sure what they could have added to my research. All the surgeons who I interviewed had exceptional credentials and prominent positions in a hospital as well as their private practice. Some charged me for this initial meeting and some did not. I was probably a good candidate in that I am in good physical shape but with some extra fat that resisted diet and exercise. I am happy with my selection of a doctor and was impressed with his clinic and the process. There has been very little pain involved in the recovery. I am only a month from the date of surgery but so far, I am pleased with the result. The upfront research of identifying surgeons, meeting with them, seeing their clinics and meeting their staff was a necessary step for me. In doing this research, I met many women who had the procedure and they were very nice about sharing their experiences which minimized most surprises.