I probably spent more money doing mine locally but honestly, I feel it was worth it!
Being able to come home and sleep in my own bed, especially with all the problems I faced trying to get comfortable (I still struggle with sleeping on my back), it was so much better to be somewhere I was comfortable. Also, knowing that I didn't have to take a flight was huge for me. And also, being at home, I had everything I needed and local friends to do everything for me (within limits of course! Ha!) They could go shopping for me, pick up my prescriptions (I have extended health care so prescriptions are free if I'm home too). I only went out in a car twice, once to get home and the next was almost a week later to go to the office to get drains out. When you have a seat-belt on, car journeys become something you don't want to do too often, just in case! Lol. Knowing that I had friends who live locally who can pick up something for me if I realise I need something was big too. If you go to Florida with a friend, it's not so bad but then they're unfamiliar with the area. New Beginnings would be better for that though I guess.
The thing that concerned me about being away was just the idea that things don't always go right. Drains might not be ready to be removed for example. Things can go wrong. And then you have the concern of when to book flights and whether you'll make that flight, etc. For me, the very first night I actually came very close to passing out twice and got to the point where if it happened again I'd get my friend (who was staying over with me) to drive me to the hospital. The first time I nearly passed out, my ears started buzzing and from experience I knew I would pass out very soon if I didn't lie down ASAP. My head was foggy but because I was home I knew a safe and quickly accessible place to lie down within 5 seconds without having to be able to see exactly where I was going (this was at night and only light was a nightlight). If I was in a hotel for example, with my head foggy I'd probably have been stuck just lying wherever I happened to be and that's not as comfortable as say the couch I was steps away from when it happened to me. Or I'd have panicked more because I was in unfamiliar territory, which would have raised my heart rate and BP and I'd have maybe fully passed out then and that's never fun! This all happened to me because I did have a medical issue that I didn't realise I had as I haven't lost that much blood during surgery without transfusions and it became apparent a few days later what was wrong. So it's very easy for things to go wrong and, for me, familiar surroundings was very important to me.
Another issue for me was results. While I do like the look of Dr. G's work, I actually went with my surgeon Dr Bowman in Vancouver because I preferred his results. This will be controversial because I was originally put off because online it's more complaints about him than positive...until I started actually talking to people who had had surgery with him and were very, very happy! I saw more pictures in his office and it appears people just aren't commenting on the good results online. I guess that's always an issue, people are more likely to complain than compliment. When things go right it's what we expected and paid for. When things go wrong we complain and bitch to the world with our frustration. When I saw results I concentrated on those from people my shape and size, who obviously worked out and I loved the results. I preferred his results because he cuts in a different way. He cuts more up the way and away from the side so scars are less obvious when wearing a sleeveless jersey and more follows the normal line of where your pecs would be (assuming you work out). For me I do work out a lot and intend to do so even more now I don't have to worry about my chest looking bigger in the bad way! So for me, the results from Dr Bowman were going to be far preferable to Dr. G. With Dr. Bowman's results I actually have the chance of having scars that may end up entirely hidden!
So it's really a case a weighing up pros vs cons. Home VS away and who has the results that are right for you. In my case Dr Bowman had results that would be better for me, but perhaps not for people less in shape or interested in being that way with working out. And being at home just saved me a multitude of other issues. Even something as simple as being able to work late the day before surgery and arrange it so I need only take 4 days off work total.
Dr. G may be the general "Picasso" of top surgery, but there's so many different surgeons and techniques out there, he's not always the best for everyone. For me, his results weren't what I wanted. He's the go to when people think top surgery but I for one believe it's worth checking out more people to see if they have different ways of doing it that you maybe didn't realise were out there that might be more what you're looking for. I looked into quite a few, including some places in surrounding provinces and US states before I chose local. Dr. G has easier access to result pics but you should be able to see before and afters without having to commit to a consultation.