There are a decent number of cut and sew shops in the USA. The issue is what are you wanting to have done. If it is a standard item with no zippers/buttons there is a range of companies. When you start getting into zippers, buttons, etc the number shrinks and if you past standard apparel items it gets even smaller. If you post what you are looking for I am pretty sure you will be led in the right direction. One word of advice when inquiring. Always ask the company you are speaking with if they actually manufacture the product themselves. Lot of pretenders out there that do nothing but broker deals and in most cases, brokering overseas.