The only consideration I would have beyond cost is that you have little recourse if you return home from overseas surgery and develop a medical problem. One person I know personally suffered a burst bowel upon her return flight home and had to be opened back up, cleaned out and repaired and now has a huge scar that looks like an inverted T that runs from the breast bone to well below her navel. Had it happened in Thailand she could have had it taken care of on the spot, but once back to mainland USA it was another story because the sh** had spread throughout her entire upper body. Just one of those one in a million chances that something would go bad, but something to consider just the same.