Lots of excellent (!) advice so far. But, it is not uncommon for emotions to trump logic. When I was considering it, I mentally walked through the little realities that are easy to ignore in the rush for "satisfaction".
For example: Do you have any existing medical conditions that might give your MD pause when considering surgery? If you are concerned about flying under the radar, who are you going to get to drive you home from the hospital, and nurse you through multiple dressing changes for the length of your rehabilitation? You are probably going to have to wear a therapeutic bra constantly for at least a few days, maybe longer.
I was considering having it done in Thailand. I have seen some excellent work done over there.
And, you can wander around for a few weeks recovering with very little chance of being seen by anyone you know. The cost of the trip AND surgery may very well be cheaper than the surgery alone in the States.
Obviously, COVID put the end to that fantasy for awhile.
There are a bunch of YouTube videos covering multiple experiences, pro and con. Spend some time watching other peoples experiences, and try to put yourself in their situations.
Good luck