I am gonna use a local Bariatric Surgeon where I live. With two small kids and me being a stay at home mom it was gonna be very difficult for me to travel to Mexico every time I need a fill. I live in MS and the flight is about $300 each time so I don't think it would be worth my time at all. The price for my check-ups and fills is gonna be $1500/year, which sucks, but I will deal with it.