Cali
A particularly strong reputation for body contouring and BBL specifically, with pricing often 10–15% below Medellín. Home to Fundación Valle del Lili and Centro Médico Imbanaco, two of Colombia's JCI-accredited hospitals. Warmer, sunnier climate than Medellín.
Cartagena
Colonial charm and Caribbean beach setting make it well-suited to dental work and other shorter-recovery procedures where beach recovery is appropriate — not typically the choice for longer, higher-complexity procedures given its less extensive medical infrastructure relative to the major cities.
How to choose between them
Cali for body contouring specifically seeking Medellín-level quality at a modest additional discount; Cartagena for dental or other short-recovery procedures where you also want a beach setting.
See colombiabbl.co and colombiadentist.co for city-specific provider information.
The Takeaway
Both cities offer genuine, specific value — Cali for body contouring value, Cartagena for beach-recovery dental trips — neither is a lesser substitute for Medellín or Bogotá, just a different fit.