Thanks sm10. I'm getting a price from a local surgeon this wk. I figure I'll write my insurer (United Health Care Choice Plus COBRA PPO) a letter after that. I would imagine it to cost more in the States, but I don't know that. I'll see if UHC will bend the rules. Not sure what a "superbill" is, but I can call Shouldice & see what they can do. I spoke with a woman from there the other day & she says her billing guy might be able to get something out of UHC, but I figured getting on it now rather than later may work in my favor. Shouldice wants $8800 for the combo inguinal & umbilical hernias.