i have a friend who had both knee surgery and cosmetic surgery in south africa. My friend told me that she had wonderful experiences both with the doctors and in the country. The hospital and doctors were in johannesburg and her experience was the utmost in professionalism and success. She organized her trip through an agent she found online and she was looked after from beginning to end and is most grateful for how it all worked out for her. She told me that the cost with the airfare and the hotel and surgery altogether still cost her less than if she'd done the surgery in the us.