In the United States, you have to step through a lot of hoops to become a surgeon. University, med school, and other crap.
In India, all you have to do is have two parents that are doctors who want you to set a world record, and presto! You have 15-year-old who does C-sections!
In Miami, plastic surgeons and dentists are ubiquitous; the problem being most of them have addresses like 253 Palm St. Apt #1305.