For me it was a break even proposition since one U.S. surgeon is in my state and the travel was by car, to and from. Also, some of the Thai folks would not take me as a patient due to some extra medical risks I have, and even though my health insurance would not pay for it this year, they had a medical center near by the surgery hospital that could take care of my non SRS issues very easily. I netted out the purely vacation stuff I would have spent anyway, since I love the Northern California coast line areas. I spent 33 years in an accounting field so I look at it differently.
At 6 months post, I am healthy and very happy and it will only be another three and half years until I am paid off. I look very good, and have had two doctors assume I was natal.

Florida has one SRS surgeon who is becoming better known and respected, and if he is close to you, it becomes much cheaper with him.