“…The main motivators to start MT include lower costs of treatment abroad (Crooks et al, 2010;Johnston, Crooks, and Snyder, 2012;Eissler and Casken, 2013;Lunt, Mannion and Exworthy, 2013;Guy, Henson, and Dotson, 2015;Yildiz and Khan, 2016;Khan et al, 2017b;Suki et al, 2017;Schmerler, 2018), lack of treatment options as a result of medical procedures considered unsatisfactory, hardly accessible, unattainable or illegal domestically (Crooks et al, 2010;Johnston, Crooks, and Snyder, 2012;Eissler and Casken, 2013;Lunt, Mannion, and Exworthy, 2013;Guy, Henson, and Dotson, 2015;Yildiz and Khan, 2016;Schmerler, 2018) and those that are available in shorter waiting times (Johnston, Crooks, and Snyder, 2012;Eissler and Casken, 2013;Lunt, Mannion, and Exworthy, 2013;Guy, Henson, and Dotson, 2015;Khan et al, 2017a;Suki et al, 2017;Schmerler, 2018) as well as the need for confidentiality and privacy (Gan and Frederick, 2013;Lunt, Mannion, and Exworthy, 2013;Henson, Guy, and Dotson, 2015).…”