This doctor is one of the very highly-experienced European doctors . I'm sure he is a very good surgeon. But that is not the real issue. Price should not be the biggest factor for any of us. What happens if you have trouble and need to return to France several times? How and from whom will you get fills? Will a doctor in Portugal take care of you after a surgery in France? These are the same issues we deal with here in the US when we go out of the country for surgery. It is often cheaper in the long run to use a local doctor, have close contact and followup from him or her, get local fills, have local support groups. The surgery is only the very first step. The many years of care after that are what help you be successful or not. You have to look at costs for at least 5 years, not just surgery costs. Renee