Well even though this is a site that is used internationally, I still feel that the predominate users of this site are people from western industrialised countries, and a much greater number of these from English speaking countries in that wider demographic.
You then have the Thai, surgeons who will service a huge number of international patients including substantial UK/US/Aus etc, but also a substantial number from outside this group.
However, when you come across UK/US/Canadian surgeons, the majority of their patients would be English speaking or western patients. These patients would fit this sites major demographic substantially. This must therefore increase the percentage of all results been reported on this site. But also people tend to report bad results more than good ones, unless specifically asked; wouldn't that also increase the reporting of complications on this site of those western surgeons, and skew the results to make the Thai surgeons look better?!
I just think some objectivity in reviewing surgeons is needed, rather then just blindly stating, in a "me and my friends"where fine so everything they do is amazing mentality.