Malpractice insurance in Costa Rica does not operate the same as it does in the US and other countries. If you are less than pleased with the result of your treatment, monetary compensation, will not be the necessary consequence. There are no punitive damages in the Costa Rican legal system. The treatment provider will likely prefer to correct your treatment as their first alternative. Judicial claim procedures for malpractice, will require significant amounts of time because of the way the legal system is structured.