Thanks to cheap international travel, a strong pharmaceutical industry, and quality health care which is increasingly making Kerala a preferred medical tourism destination. For example, a heart bypass surgery costs roughly $140,000 without any insurance in the US. The same procedure, however, costs only around $7,000 at one of Kerala’s leading surgery centres. Procedures such as hip and knee replacement, facelift, and gastric bypass are far more affordable in India, including the travel costs and accommodation, compared to the US. Moreover, these cosmetic procedures are not covered by most insurance providers in Western countries.