Ksharsutra is a surgical method which is a part of Ayurveda and hence is not practiced by modern surgeons. There is no one in Philippines,Indonesia, British Columbia, Canada or any other western countries who does this procedure. Costs of the medical procedures in India are approximately 1/5th to 1/10th of costs in the west. This cost differential enables you the opportunity to have a vacation in an exotic country, recover in a star resort in complete anonymity, and then return home having spent less than the procedure alone in your country. There is no waiting time for any surgical procedures for foreigners.