You can get superb, equivalent surgical care in either. So the real choice is about the experience around it. They're just 50 minutes apart by air — many patients stack a few tourist days in one before surgery in the other.

Rio de Janeiro is warmer, beachfront and flatter underfoot, with slightly lower costs than São Paulo — Brazil's surgical heartland and the easier city for gentle daily recovery walks.
São Paulo is milder, more temperate and closer in feel to Melbourne, home to the top-ranked hospitals on the continent, with hotels slightly cheaper than Rio de Janeiro's Zona Sul.
Recovering in São PauloSee the surgeons we would match you with, and what the all-in figure looks like.