There is no such thing as a stupid question perhaps ignorant, but not stupid.
I will give my opinion on your question and than answer why I went to Thailand for my surgery.
1.reaso : price -currently the most economical surgeon in the usa are Reed, and Mcginn, but there are surgeons in Thailand that blow their cost out of the water including cost of flight and motel are they as good, some perhaps and others no.
simply put there are a lot of trans people who are barely scraping by and having to have therapist letters and HRT doctors etc just crimps their financial ability to afford a more reputable doctor so they chose Thailand
2. But there are surgeons in Thailand that are equal to and some that are more expensive than American surgeons, and some people end up going to these surgeons now I am sure your asking yourself why would someone do this, well its the same reason why someone would choose Meltzer over Reed and that is preference either because of some email connection, some results they seen it can be a multitude of things this is typically a situation where cost isn't an issue.
Now for why I went the Thailand, well cost played a lil part in it but I could of went to Reed or Mcginn for what I paid in flight, hotel, and surgery +everything else. And while I didn't discover McGinn and her marvelous result till very close to my deadline to go, I still went with my choice because A. non-inversion technique, B. I liked the result I saw, C. email correspondence and the way business was handled (even with a couple minor issues), and D. the biggest reason, I wanted to travel as I had never been outside the U.S. and I felt I may never again after I return.. I thought about Bowers but I didn't like her latest results, and the cost associated with it and that cost was way high but that's to be expected from a California Hollywood Dr. but this is my opinion so I don't want to offend anyone who had srs by her.
So there is my input, if you have any personal questions feel free to pm me.