Some of the most common procedures that patients look for when visiting include cosmetic surgery, dental work, heart surgery and cancer treatment. The cost of care in India is considerably lower compared to other medical tourist spots. Patients can also communicate better with health care providers since majority of Indians are very good at speaking English. Now, it is widely used by both men and women to soften wrinkles and get rid of eyelines and crow's feet under the eyes and on the forehead. The facial muscles that lead to wrinkles are weakened. Botox is also very effective in treating wrinkles in other parts of the body like the neck and hands. Wrinkles triggered by sun damage can also be treated. Patients visited the spa towns during the 1700s to get mineral water that is believed to boost health and treat problems like bronchitis, gout and liver conditions. Becoming Popular Several factors triggered the vast popularity of medical tourism. Primarily the increasing cost of health care had people asking if there were other places where they can receive the same kind of treatment without the huge expense. It is comprised of health care providers, international hospitals, insurance companies, medical travel advisers and other agencies that commit to providing patients with excellent health care globally. The three tenets of the agency are Communication, Education and Transparency. The SOFIHA or Society for International Health Care Accreditation is another group that gives forums and discussions about standard practice and ideal patient care. Asia and the Pacific China is a favorite among medical tourists because of its unique approach to treatment. Chinese hospitals and institutions are widely known for fusing modern medical practices and technology with traditional Chinese medicine and therapeutic techniques. Stem cell treatment is one of the most common procedures that visitors go to China for. Patients should also be informed about current epidemics and other high risk nations that still harbour infectious diseases, such as malaria, TB and HIV. Patients in the end have the final say as to the type of care they wish to receive, as well as the institution they choose to deal with. The patient has the right to refuse treatment.