{
 "schema": 1,
 "id": "brazil",
 "type": "destination",
 "names": {
  "name": "Brazil",
  "aliases": [
   "República Federativa do Brasil",
   "Federative Republic of Brazil"
  ],
  "said": "Cirurgia plástica. Brazil's cosmetic surgery is famous abroad and domestic at home: the survey that ranks it first in the world for surgical procedures also records that only about one patient in twenty comes from another country."
 },
 "region": [
  "south-america"
 ],
 "facets": {
  "iso2": "BR",
  "direction": "inbound",
  "currency": "BRL",
  "languages": [
   "Portuguese"
  ],
  "draws": [
   "liposuction",
   "breast-augmentation",
   "abdominoplasty",
   "bbl",
   "facelift"
  ]
 },
 "text": {
  "what": "The country that performs more cosmetic surgery than any other and exports very little of it. In the ISAPS survey of 2024, Brazilian plastic surgeons accounted for 2,354,513 surgical procedures — 13.5% of the world's, more than the United States — inside a total of 3,123,758. The foreign share of that work is small. Brazil is on this site as the largest domestic cosmetic market in the world, and as a destination that is smaller than its reputation.",
  "story": "The professional base is deep and old. The Sociedade Brasileira de Cirurgia Plástica was founded in São Paulo in 1948 and states \"aproximadamente 6.700 cirurgiões plásticos, entre titulares, associados e aspirantes a membros\". ISAPS separately estimates 6,497 plastic surgeons in Brazil, second in the world after the United States and ahead of China.\n\nThe travel figures are the quiet part. Brazilian surgeons reported a median 5.0% of patients attending from other locations and an average of 8.2% — at, and just above, the worldwide median of 5.0%. The three origins named most often were the United States, Portugal and Italy, which is the shape of a diaspora rather than a package trade.\n\nWhere the work is done is its own fact: 76.0% of Brazilian cosmetic procedures were performed in a hospital, against 52.6% worldwide, and 7.0% in a free-standing surgicentre against 16.3% worldwide. *Inference —* that is the opposite profile to Colombia's, and it is the single most useful comparison on either page: the same operations, the same region, different premises.",
  "how": "*Trade practice —* Brazil sells to Brazilians. A foreign patient books the same clinic a São Paulo or Rio patient books, in Portuguese, usually through a surgeon's own consulting room rather than a facilitator, and pays in reais. Multi-procedure operating lists are common and the hospital admission is the norm rather than the exception. Nothing on this page describes a state promotion scheme, because this record found none to describe.",
  "today": "As of the 2024 survey year Brazil ranks second in the world for total aesthetic procedures and first for surgical ones, with 769,245 non-surgical procedures against 2,354,513 surgical — the inverse of the United States, where non-surgical work is two-thirds of the total. Both figures are extrapolations from a survey of board-certified plastic surgeons, and neither counts a dentist, a fertility clinic or an orthopaedic ward."
 },
 "geo": {
  "lat": -15.7939,
  "lon": -47.8828,
  "precision": "country",
  "source": "s:natural-earth"
 },
 "metrics": {
  "note": "3,123,758 aesthetic procedures in 2024, 2,354,513 of them surgical; an estimated 6,497 plastic surgeons; a reported median 5.0% / average 8.2% of patients attending from other locations. All ISAPS survey extrapolations from 2,975 responding surgeons across 32 locations, counting aesthetic work by board-certified plastic surgeons and nothing else.",
  "as_of": "2024",
  "source": "s:isaps-global-survey-2024",
  "url": "https://www.isaps.org/media/razfvmsk/isaps-global-survey-2024.pdf"
 },
 "kin": [
  {
   "to": "albert-einstein-sao-paulo",
   "as": "The São Paulo hospital that takes the complex international work.",
   "rel": "part"
  },
  {
   "to": "liposuction",
   "as": "One of the operations behind the country's surgical count.",
   "rel": "procedure"
  },
  {
   "to": "abdominoplasty",
   "as": "A Brazilian staple, and one of the pairings sold on a single list.",
   "rel": "procedure"
  },
  {
   "to": "bbl",
   "as": "The buttock operation whose technique argument is partly Brazilian.",
   "rel": "procedure"
  },
  {
   "to": "colombia",
   "as": "The regional contrast: a fifth of the volume, four times the foreign share, and the operations done in surgicentres rather than hospitals.",
   "rel": "contrast"
  },
  {
   "to": "argentina",
   "as": "The neighbour Brazilian patients travel to, and that names Brazil as its own first origin.",
   "rel": "contrast"
  },
  {
   "to": "isaps",
   "as": "The society whose survey supplies the counts on this page.",
   "rel": "measured-by"
  },
  {
   "to": "counting-patients",
   "as": "Why a procedure count and a patient count are different animals.",
   "rel": "story"
  }
 ],
 "links": [
  {
   "label": "Sociedade Brasileira de Cirurgia Plástica",
   "url": "https://www.cirurgiaplastica.org.br/"
  },
  {
   "label": "ISAPS survey of procedures performed in 2024",
   "url": "https://www.isaps.org/media/razfvmsk/isaps-global-survey-2024.pdf"
  }
 ],
 "sources": [
  "s:isaps-global-survey-2024",
  "s:sbcp",
  "s:natural-earth"
 ],
 "provenance": {
  "default": {
   "tier": "cited",
   "source": "s:isaps-global-survey-2024"
  },
  "fields": {
   "text.story": {
    "tier": "cited",
    "note": "society membership from its own page; survey figures from ISAPS; the closing comparison is marked inference"
   },
   "text.how": {
    "tier": "tradition",
    "note": "the domestic shape of the Brazilian trade, hedged in the prose"
   },
   "geo": {
    "tier": "harvested",
    "source": "s:natural-earth"
   }
  }
 },
 "x_commons_files": [
  "File:São Paulo skyline.jpg"
 ],
 "needs_verification": true,
 "confidence": "medium",
 "updated": "2026-09-16",
 "blurb": "The country that performs more cosmetic surgery than any other and exports very little of it.",
 "region_terms": [
  {
   "key": "south-america",
   "name": "South America",
   "note": "Colombia, Brazil, Argentina, Chile, Peru"
  }
 ],
 "kin_out": [
  {
   "to": "albert-einstein-sao-paulo",
   "type": "facility",
   "name": "Hospital Israelita Albert Einstein",
   "as": "The São Paulo hospital that takes the complex international work.",
   "rel": "part"
  },
  {
   "to": "liposuction",
   "type": "procedure",
   "name": "Liposuction",
   "as": "One of the operations behind the country's surgical count.",
   "rel": "procedure"
  },
  {
   "to": "abdominoplasty",
   "type": "procedure",
   "name": "Abdominoplasty",
   "as": "A Brazilian staple, and one of the pairings sold on a single list.",
   "rel": "procedure"
  },
  {
   "to": "bbl",
   "type": "procedure",
   "name": "Gluteal fat grafting",
   "as": "The buttock operation whose technique argument is partly Brazilian.",
   "rel": "procedure"
  },
  {
   "to": "colombia",
   "type": "destination",
   "name": "Colombia",
   "as": "The regional contrast: a fifth of the volume, four times the foreign share, and the operations done in surgicentres rather than hospitals.",
   "rel": "contrast"
  },
  {
   "to": "argentina",
   "type": "destination",
   "name": "Argentina",
   "as": "The neighbour Brazilian patients travel to, and that names Brazil as its own first origin.",
   "rel": "contrast"
  },
  {
   "to": "isaps",
   "type": "org",
   "name": "International Society of Aesthetic Plastic Surgery",
   "as": "The society whose survey supplies the counts on this page.",
   "rel": "measured-by"
  },
  {
   "to": "counting-patients",
   "type": "story",
   "name": "Counting patients",
   "as": "Why a procedure count and a patient count are different animals.",
   "rel": "story"
  }
 ],
 "source_list": [
  {
   "id": "s:isaps-global-survey-2024",
   "kind": "report",
   "title": "ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2024",
   "publisher": "International Society of Aesthetic Plastic Surgery, tabulated by Industry Insights Inc.",
   "url": "https://www.isaps.org/media/razfvmsk/isaps-global-survey-2024.pdf",
   "accessed": "2026-09-16"
  },
  {
   "id": "s:sbcp",
   "kind": "web",
   "title": "Sociedade Brasileira de Cirurgia Plástica",
   "publisher": "Sociedade Brasileira de Cirurgia Plástica, São Paulo",
   "url": "https://www.cirurgiaplastica.org.br/",
   "accessed": "2026-09-16"
  },
  {
   "id": "s:natural-earth",
   "kind": "dataset",
   "title": "Natural Earth — Admin 0 Countries, 1:110m",
   "publisher": "Natural Earth",
   "url": "https://www.naturalearthdata.com/",
   "license": "Public domain",
   "accessed": "2026-09-16"
  }
 ],
 "tiers": {
  "text.what": {
   "tier": "cited",
   "source": "s:isaps-global-survey-2024"
  },
  "text.story": {
   "tier": "cited",
   "note": "society membership from its own page; survey figures from ISAPS; the closing comparison is marked inference"
  },
  "text.how": {
   "tier": "tradition",
   "note": "the domestic shape of the Brazilian trade, hedged in the prose"
  },
  "text.today": {
   "tier": "cited",
   "source": "s:isaps-global-survey-2024"
  },
  "geo": {
   "tier": "harvested",
   "source": "s:natural-earth"
  },
  "metrics": {
   "tier": "cited",
   "source": "s:isaps-global-survey-2024"
  }
 },
 "primary_image": null,
 "tag_facts": [],
 "recognition_facts": [],
 "acclaim": 0,
 "kin_in": [
  {
   "from": "argentina",
   "type": "destination",
   "name": "Argentina",
   "as": "The first origin Argentine surgeons name, and the regional giant next door.",
   "rel": "contrast"
  },
  {
   "from": "albert-einstein-sao-paulo",
   "type": "facility",
   "name": "Hospital Israelita Albert Einstein",
   "as": "The Brazilian hospital foreign referrals reach first, in a country whose larger flow is Brazilians leaving.",
   "rel": "destination"
  },
  {
   "from": "isaps",
   "type": "org",
   "name": "International Society of Aesthetic Plastic Surgery",
   "as": "The largest domestic aesthetic market in its 2024 count, and a small foreign share inside it.",
   "rel": "place"
  }
 ]
}