Does your pcp support going out of country?
My Dr here is Manitoba Canada was totally on board with me going to Mexico she has many patients that go outside the country for various types of surgery. My Dr is from Egypt and has been in Canada 15 years I think she may be a little more liberal minded than some of the Dr's in Canada. I went to Dr Ponce De Leon in Tijiuna and had a fabulous surgery and am having great results with no complications. I also know of several other people in my province who have gone to Dr Ponce. He and his team were wonderful. You can see his Coordinators face book page at WLS for Life (Trish). They are an awesome team; hands down.
Good Luck who ever you choose.