When Rarity resurrected this thread, it reminded me to provide some updates. Due to a recent injury I have been back to SMC, Chong Hua in Cebu and Makati Med. Silliman beats Holy Child for me, but really only due to the new doctor's offices and more convenient parking. The hospitals' themselves seem to be pretty much on par and that is still lacking. Chong Hua is better than Cebu Doc's but I still remain relatively unimpressed. Makati Med has improved it's facilities a lot in the past 3 plus years since I was last there. It's still below western standards, but they seem to be going in the right direction. On a side note, many times I have read how underpaid Philippine doctors are. The orthopedic surgeon at Makati Med had a digital picture frame on his desk running a slide show of him with his newest toy, a Lamborghini Murcielago! (That toy would set one back about P12 million before the import taxes are added!) The procedure he proposal to do for me would net him (excluding hospital charges) P100,000 for a roughly 1 hour procedure. He schedules surgeries for a couple hours a day, six days a week.... For some reason, I doubt he will be going back to school to retrain as a nurse and migrate to the US!