alright so I have been snooping this Spanish orthognathic forum and this is what I learned (regarding Instituto Maxilofacial)
a) for the Spaniard lurkers. I.M. does not accept insurance
b) surgery costs around 12K (euros) per jaw
c) you will be treated like cattle, apparently there are dozens of dental students (soon to be surgeons) that do all the consulting (x-ray, ct scan, dental impression, pictures, etc..) Alfaro eventually pops in, talks to the patient for 10 minutes and bolts. you won't see him again til surgery day
d) his rhinoplasty sucks