I get that feeling also. People are being fooled by fake reviews around medical tourism in Thailand. Many places now offer discounts at check out for 5 star reviews. I have had several experiences with places I researched and looked great, mostly dental related. Then when I had work done it was shoddy. The quality is not there, it's just an outer window dressing and a clean lobby.
My suggestion, a quality place in the Usa (if you can afford it).