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.

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.
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.
Recovering in Rio de JaneiroSee the surgeons we would match you with, and what the all-in figure looks like.