Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 53 61 Onesimo CUAMEA Facultad de Turismo y Mercadotecnia, Universidad Autonoma de Baja California, Tijuana, Mexico Karen RAMOS Facultad de Contaduria y Administracion. Universidad Autonoma de Baja California, Tijuana, Mexico 2019 01 16 Background: The problem consists in the lack of knowledge of the factors that tourists choose the clinics of a foreign city for their aesthetics treatments, especially at a frontier where a developed and developing country coexist and interact. Methods: The information was obtained on 2016, by applying an exit pool survey to a selected sample of 385 visitors- patients from clinics in the Tijuana, Mexico. Sixteen items were included in the exploratory factor analysis. Results: Four key factors influenced the decision: Quality & Prestige of Clinic and Surgeon, Integration with Tourism Sector, Destination Image and Border Interaction. All the elements had a load factor greater than 0.56 which proved the actual fit in the factor analysis and none of the included variables is trivial. Conclusion: Allow maintaining or increasing the attractiveness of a border city for aesthetic tourism, the administrators of the clinics establish cooperation agreements with entrepreneurs of the tourism sector to benefit their patients.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15938 https://ijph.tums.ac.ir/index.php/ijph/article/download/15938/6253