Penile Skin Inversion for Sex Reassignment Surgery (Male to Female surgery)
Transsexual is someone who was born into the wrong body. Their anatomy doesn’t match their gender identity, causing great distress with gender dysphoria in their current genitals. Many have difficulty living with a part of their body that doesn’t belong, which causes both physical and mental pain.
Base on clinical interviews with trans women patients’ background histories, “As a child throughout school, when the children were divided into gender groups, she always wanted to be with the girls. She described envy of girls’ dresses and a dislike of her own masculine features. By the time before transition (MtF surgery), she began to grow her hair, paint her nails, presented as more feminine and described experimenting with gender, relationships and sexuality”.
Sex Reassignment Surgery (SRS), Genital Reconstruction Surgery, Sex Affirmation Surgery, Sex Reconstruction Surgery, Sex Realignment Surgery, Sex Change Operation, Male to Female surgery, these are all part of Male to Female surgery for trans women (transgender).
General surgery guidelines and open discussion are highly recommended with PAI surgeon, direct consultation to be finalized sex reassignment surgery technique.
1. Long Penis ( > 6 inches (15 cm), when erect) = Penile Skin Inversion (PSI)
2. Medium Penis (2-6 inches (5 – 15 cm), when erect) = Penile Skin Inversion (PSI) with Scrotal Skin Graft (SSG)
3. Short Penis ( < 2 inches (5 cm), when erect) = Penile Skin Inversion (PSI, SSG) with Sigmoid Colon Graft (SCG) Sex Reassignment Surgery (Sigmoid colon) transposition is used for patients who need more depth (exceeding 6.5 inches +)
SRS by Penile Skin Inversion (PSI) is combined with sensations, G spot, aesthetically acceptable vulva which include clitoris, labia minora, majora, vaginal introitus, shortening of the urethra, creation of a urethral opening that allows a downward urinary stream, eliminate of erectile tissue completely (to avoid narrowing of introitus and protrusion of the urethral during sexual arousal as a result to achieve vaginal adequate size standard depth, preserve orgasmic capabilities, minimize and hide scarring, appearance, lubrication and overall realistic outcomes as much as possible.
Penile Skin Inversion technique, MtF surgery, all appearances and functions have been positively to achieved the result that very close to the biological female genitalia.
Outcomes from MtF surgery by Penile Skin Inversion’s (PSI) is provided sensational glans clitoris, labiaplasty and vaginoplasty in one stage.
MtF Penile Skin Inversion technique at PAI (all Board of Plastic & Reconstructive surgery Thailand) by Assoc. Prof. Preecha Tiewtranon MD, Burin Wangjiraniran MD FRCST and Sutin Khobunsongserm MD.
This is important that the person should be in a realistic limitation about what cosmetic & reconstructive surgery can and can not do. Your doctor is in the best position to address these issues and for that reason frank and open dialogue is recommended to avoid any misunderstanding.
At PAI, zero depth vagina or minimum depth is an optional as a part of gender affirming surgery. More techniques sex reassignment surgery (MtF surgery) and facial feminization surgery (FFS)
Penile Skin Inversion by Preecha Aesthetic Institute (PAI) - key success areas
Penile Skin Inversion (MtF surgery) four years after surgery
After sex change surgery mtf surgery show valva 2 months surgery
Gender Affirmation Surgery after one year
Package is included Penile Skin Inversion (MtF surgery) :
Preecha Aesthetic Institute (PAI) has been followed by the World Professional Association for Transgender Health (WPATH/HBIGDA or SOCs) or Asia PATH. This organization is to provided health cares, surgical professionals to assist transgender and gender diverse people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves and overall self-fulfillment.
The best candidate for Penile Skin Inversion (Male to Female surgery) :
Preecha Aesthetic Institute (PAI) is the first multidisciplinary Aesthetic and Reconstructive center also best well known the pioneer in Sex Reassignment Surgery (Male to Female and Female to Male) Thailand since 1980. The center has the most advanced 10 consultation rooms, 6 operation rooms (local anesthesia), equipment to any leading Aesthetic Plastic Surgery completed with recovery rooms and the internationally accepted standard of hygienic system.
All cases under General Anesthesia, Preecha Aesthetic Institute's using two affiliated major private international standard hospitals under JCI accredited for healthcare promoting center located in Bangkok under the philosophy of "World class quality with Thai hospitality", private patient rooms, 230 - 500 beds, modern medical technology, equipment, emergency and hospital receiving accreditation for high-quality. All direct consultations and follow up appointments are set at Preecha Aesthetic Institute.
Preecha Aesthetic Institute (main's clinic)
Affiliated hospital
Affiliated hospital
Well innovation researcher, oversea academic medical university guest speakers, we are performed sex reassignment surgery all ages and well reputation for a specialized reconstructive center. SRS Male to Female surgery (Penile Skin Inversion) is performed by Doctor Preecha Tiewtranon MD, Doctor Burin Wangjiraniran MD FRCST and Doctor Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand).
Preecha Aesthetic Institute (PAI) is the leading in sex affirmation surgery (Pioneer Sex Reassignment Surgery Thailand) located at Bangkok Thailand by Assoc.Prof. Preecha Tiewtranon MD, Sutin Khobunsongserm MD and Burin Wangjiraniran MD FRCST. We have been developed the surgical technique for vaginoplasty. Many refinements have been introduced during the past 40 years with 6000+ operated on SRS Penile Skin Inversion, Penile Skin Inversion with Scrotal Skin Graft and Sigmoid Colon “(Source by Male-to-female vaginoplasty: Preecha’s surgical technique, NCBI Literature Resources, 2022 Oct 30)
All your questions will be direct answers from PAI's doctors.
Once all are confirmed. To set up direct consultation and schedule surgery date.
Penile Skin Inersion Vaginoplasty (MtF surgery) is a safe procedure. While complications may occur, most are self-limited or can be treated with minor interventions. Minor complications include issue such as the formation, delay wound healing but can minimize by closely follow surgeon’s advice on follow up cares during the healing process.
Assoc.Prof. Preecha Tiewtranon MD, Sutin Khobunsongserm, MD and Burin Wangjiraniran MD FRCST.
Gender Affirming Surgery - Penile Skin Inversion - Male to Female surgery is to create sensational glans clitoris, labiaplasty and adequate vaginoplasty combined in one stage.
Aim accomplishment Penile Skin Inversion (PSI) for trans woman surgery is to combined sensations, G spot, aesthetically acceptable vulva which include clitoris, labia minora, majora, vaginal introitus, shortening of the urethra, orchiectimy & penectomy, creation of a urethral opening that allows a downward urinary stream, eliminate of erectile tissue completely (to avoid narrowing of introitus and protrusion of the urethral during sexual arousal as a result to achieve vaginal adequate size standard depth, preserve orgasmic capabilities, minimize hide scarring, appearance, lubrication and overall realistic outcomes as much as possible.
Our goals for Male-to-Female Sex Reassignment Surgery by PAI's.
Three techniques being performed at Preecha Aesthetic Institute for Sex Reassignment Surgery (SRS). All are orgasms provided the sensational glans clitoris, labiaplasty and vaginoplasty in one stage.
♥ Penile Skin Inversion (lubricate with organism)
♥ Penile Skin Inversion with Scrotal Skin Graft (lubricate with organism)
♥ Sigmoid Colon with Penile Skin Inversion (Sigmoid Colon) (self lubricate with organism)
Lubricate ⇔ Apply KY Gel before sexual intercourse.
Self lubricate ⇔ Lubricate during intercourse.
After PSI (4 years)
After surgery with 15 CM depth
Objectives : Aesthetic, Depth, Sensation, Lubrication and Elastic
An extra charge is 50% from surgery fee, if HIV +. This is a protocol by infectious control center.
After 4 years surgery (Penile Skin Inversion)
After 4 years surgery (Penile Skin Inversion).
After 4 years surgery (Penile Skin Inversion).
Sensational glans clitoris, labiaplasty and vaginoplasty combined in one stage.
After 14 months and 20 months surgery (Penile Skin Inversion).
After one year surgery (MtF surgery penile skin inversion).
After eleven months surgery (MtF surgery penile skin inversion).
one week, two weeks and four weeks after surgery (MtF surgery penile skin inversion).
After six weeks Penile Skin Inversion with some dissolve stitches (SRS).
After 4 weeks surgery. Penile Skin Inversion (PSI).
After six months surgery. Penile Skin Inversion.
After 12 days and 7 months surgery. (Penile Skin Inversion).
After 14 days surgery. (SRS Penile Skin Inversion).
Objectives : Aesthetic, Depth, Sensation, Lubrication and Elastic
After 3 months surgery (Penile Skin Inversion).
After 1 month surgery. (Penile Skin Inversion).
After 7 day, 14 day and 21 day post op surgery. (Penile Skin Inversion).
After two months post op surgery. (Penile Skin Inversion).
After four years post op surgery. (Penile Skin Inversion).
After one month post op surgery. (Penile Skin Inversion).
1. Write your question, interest at consult us in program form
2. Via email consult@pai.co.th
2.1 list your expectations or procedure that you are interest and give us your detail as possible
2.2 email to us
2.3 We will get back to you shortly after receive your question with recommendation from specialize surgeon
Once you know your planning date for surgery. Here is the next step:
1. Consultation with us via email for details and procedure
2. Plan your available date to be surgery and departure from Bangkok
3. We will confirm you for surgery date
4. You may start to book your airline ticket
5. We will confirm you all detail and hotel booking, if require
6. For transportation to be pick up from the airport, we can do for you as optional
Things should bring from home.
Sex Reassignment Surgery (MtF surgery)
Surgery Schedule (Totals stay for Sex Reassignment Surgery are 18 days all together with Preecha Aesthetic Institute, PAI)
Day 0 - Arrival date (check in hotel)
Day 1 - Consultation and Prepare for Laboratory Testing at PAI's clinic
Day 2 - Prepare and take liquid laxative for bowel clearance
Day 3 - Surgery date (check out hotel)
Day 3 to Day 8 - Stay in hospital for recovery period with doctor visits
Day 8 - Discharge from hospital in the afternoon
Day 8 - Check in hotel in the afternoon
Day 8 to 18 - Stay in hotel for recovery periods
Day 10 to 17 - Follow up by appointments at PAI's clinic
Day 18 - Departure date (check out hotel)
Pre-Operative
(Penile Skin Inversion Instruction, MtF surgery)
The pioneer Sex Reassignment Surgery and The first multidisciplinary plastic surgery center Thailand.
Surgical procedure and Sensations of Penile Skin Inversion Male to Female, Sex Reassignment Surgery by Preecha Aesthetic Institute (PAI)
Summary procedure for Penile Skin Inversion - refinements consist of cavity by the penile flap, shaping of the clitoris complex from penis glans and neo-clitoral hood, the use of the urethral mucosa to line the anterior fourchette of the neo-vagina, labia majora, labia minora.
A portion of the glans (head of the penis) with its nerves and vessels is converted into a clitoris. In so do, the clitoris will be functional in sensation as well as in appearance. The excess erectile tissue around the urethra should be removed in order to avoid symptoms that stem from engorged erectile tissue during sexual arousal that may result in the narrowing of the vaginal opening.
Affiliated hospitals : International Standard Hospital (JCI’s Accredited, HA)
Recovery Sex Reassignment Surgery PSI + SSG require to be in Bangkok 14 days after surgery
Back to work: after 20 days more
Strenuous activity: 6 - 8 weeks
Fading of scars: several months to a year
Post-op recovery for Penile Skin Inversion.
Post operative Sex Reassignment Surgery by Penile Skin Inversion. A thing that may happen side effect during recovery period at Preecha Aesthetic Institute (PAI).
The other complications which were mentioned such as the urethra vaginal fistula, Pulmonary thromboembolism, extensive bleeding, serious infection have never occurred in our experiences.
GRS Dilator by Preecha Aesthetic Institute for Medical Penile Skin Inversion, Scrotal Skin Graft
For local’s patient - You may resume to work after eighteen days surgery but must avoid heavy lifting object over the head or fast movement during 8 to 12 weeks after surgery date.
For international patient - Please plan to be in Bangkok at least 18 days all together. Stitches will remove day 7 to day 10 after surgery date. You may resume to work within a few days after arrive to your country but must avoid heavy lifting object over the head or fast movement during 8 to 12 weeks after SRS Penile Skin Inversion surgery date.
◊ Any bruising and swelling will usually dissipate within 4 to 8 months after sex reassignment surgery Penile Skin Inversion.
During the recovery period in Bangkok and after each dilation session and more details will be giving by doctor case by case.
Recovery Timeline Penile Skin Inversion (SRS)
You need to stay recuperate totally with us in Bangkok at least 14 days before safely flying back home. The neovagina can function within 6 to 12 weeks.
Common normal after Male to Female surgery
Penile Skin Inversion.
Light or Discomfort – This may experience pain during the first few weeks after sex reassignment surgery.
Bleeding – Some may experience bleeding in the days following procedure. The bleeding may vary.
Swelling – it is normal to see swelling in the vulva. This may take at least four weeks before subsides. Vaginal discharge such as bloody, then yellowish may occur during the first 2 months and will become clearer eventually stop completely.
Bruises – Ecchymosis can extend navel to hips to thighs. They take at least three to four weeks to heal.
A skin graft of donor site- The color of donor site will decrease as healing processes within a year.
Labia and clitoris- Improvement will be seeing after swelling decrease. Fully heal may take between 6-10 months. Clitoris can difficult to see during one to four weeks because swelling and presence of a blood clot. The clitoris can also hide under the labia minora. Color of labia minora and clitoral hood will change from red to pink about ten month after surgery.
Sensations – Small nerve endings on the surface of the skin at incisions made during MtF surgery may cause slight local numbness. Sensitivity will gradually return after nerve fully recovery and may take six months after surgery. Feeling of small electric shocks may be a sign of nerve healing. Soft massage can help alleviate.
Dilation + Follow up at PAI’s clinic after surgery for sex reassignment surgery.
After release from hospital you will recover with the aid of liaison at the hotel nearby PAI. During follow up visit in clinic whole trip, the doctor will provide instructions cleaning, dilator to be use. A full post-operative care kit necessary for dilation, including a -piece dilator set specially manufactured for GRS as design by Preecha Aesthetic Institute.
is provided sensational glans clitoris, labiaplasty, vaginoplasty and overall realistic outcomes
4 hours+
General Anesthesia
3 weeks
12 weeks
Several months to a year
Question/Schedule Appointment Consultation / Surgery / Penile Skin Inversion at Preecha Aesthetic Institute.
Once you know your planning date for surgery
Sex Reassignment Surgery’s planning times Penile Skin Inversion
Day 0 - Arrival Bangkok and Check in hotel.
Day 1 - Direct consultation and preparation medical health checks at Preecha Aesthetic Institute.
Day 2 - Prepare and take liquid laxative for bowel clearance
Day 3 - Surgery date (check out hotel)
Day 3 to Day 8 - Stay in hospital for recovery period with doctor visits
Day 8 - Discharge from hospital in the afternoon
Day 8 - Check in hotel in the afternoon
Day 8 to 18 - Stay in hotel for recovery periods
Day 10 to 17 - Follow up by appointments at PAI's clinic
Day 18 - Departure date (check out hotel)
Day 18 - Final checkup and prepare for letter fit to fly and issue for a new letter with gender name change
Day 18 - Safe to fly
PAI (Preecha Aesthetic Institute)
898/1 Sukumvit 55 Wattana, Bangkok
10110 Thailand
Tel: +662-715-0111
Fax: +662-715-0113
Email: consult@pai.co.th
The driver will be waiting for you at door number 4 (Meeting point) after exit from customs. The driver will stand by with your name and PAI logo. [Suvarnabhumi International Airport (BKK)]
Hotels are under cooperate and nearby PAI, starting from 50 USD to 100 USD. Rates are quoted in THB, USD/net/included of taxes and service charges. All non-commissionable rate. VISA/Master card is accepted.
Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.
PAI can issue the letter to clarify with your local Embassy or Passport.
Cost of living meal per day is 15-20 USD.
The payment can be prepared in Cash by US dollar, Euro, Japanese Yen, Hong Kong Dollar, Singapore Dollar, Australia dollar. If using credit cards (VISA/Master card), the hospital will charged 3% for international transaction fee. This is only for surgery fees. Hotels are not charged for international transaction fee. An extra charged for HIV is 50% from total cost.
Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam ,Canada, Denmark ,Finland ,France, Germany ,Greece ,Hong Kong ,Iceland ,Indonesia ,Ireland ,Israel ,Italy ,Japan ,South Korea ,Kuwait ,Luxembourg , Malaysia ,Monaco ,Netherlands ,New Zealand ,Norway ,Oman ,Peru ,Philippines ,Portugal , Qatar , Singapore ,Spain ,South Africa ,Sweden ,Switzerland ,Turkey ,United Arab Emirates, United Kingdom ,United States of America ,Vietnam.
Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.
A: We have interpreter for many languages such as Chinese, Italian, Japanese, Spanish, Russian, Turkish, and Iranian and on request. All staff and doctors here are fluent in English.
A: Yes.
A: As medical law for cosmetic and reconstruction surgery 18+, we can’t provide surgery fees on line website as respectfully. Please kindly write questions direct email and we will answers all questions and schedule everything.
A: Base on your personal information, this seems to be ready for transition srs penile skin inversion. So please kindly prepare your hormone therapist letter, fill out your medical form and then processes will be contact via email.
A: In general, your Body Mass Index (BMI) is 23.12, which is in good bodyweight. So please remain your bodyweight at 23.12 or below 24.99 just on surgery date (this is just to avoid an extra charge on general anesthesia) For the process (pre-screening), we can exchange all information via email such as fill out a medical form, tentative surgery date and so on. All questions and answers are direct to each request doctors (Dr.Burin or Dr.Sutin).
A: For MtF vaginoplasty , you should also provide us aging, bodyweight, height as well as your personal history such as how long you have been living as female, psychiatrist, hormone treatments, health conditions and fill out medical form. The doctor needs firstly to review and all questions with answers will be response by doctors via email.
A: Laser hair removal is just an optional before coming to surgery. It’s not necessary because doctor will also scrape the root of hair from penile and scrotal skin during surgical times (hair follicle scraping). However, if you still consider before coming surgery. This can consider around two sections and all should be finished at least two weeks before arriving Bangkok.
A: Expectation should not come back for revision unless, you have had much sexual intercourse, which may need to come back for labia repairs. This is just normal to all.
A: Yes. You and the doctor need to finalize here direct consultation. Everything needs to finalize here together during direct consultation here in clinic PAI.
A: Companion is allowing in hospital for one person. The hospital will provide pillow, blankets and able to sleep on sofa bed (free of charge). If more than one adult person, we are recommend to stay in hotel and able to use a taxi to come to see her while in hospital. The cost of a taxi meter from hotel to hospital is less than $5.
A: While in hospital private room, patient meals are included within a package surgery fee. But companion can order room services or just walk to 1st floor hospital. There are many international foods, local foods there. Restaurants, cafeterias are charge as a standard cost. They won’t double charge.
A: Yes. All places.
A: Surgery fee can be pay by cash CNY, HKD, SGD, AUD, USD, EURO, and YEN, GBP or credit cards (VISA and Master card). But credit card is an extra charge 3% from surgery fee. Hotel, living expenses can use credit cards without an extra charge. Most of them prefer VISA or Master card.
A: Yes. But you must provide clarify letter from your psychiatrist or hormone therapist that you are just request a zero depth SRS or minimal depth for SRS.
A: You still have to do medical health exams here with us. But within a package surgery fee. No need to pay extra. But if there’s any indicate sign need to recheck some specific, an extra charge maybe applied.
A: Yes. This is a requirement because we are follow WPATH, Asia PATH and medical law Thailand. All Gender affirming surgery are required Thai’s psychiatrist. We will refer to hospital. This is 1,800 THB. It’s requirement for international patient. Your local psychiatrist or hormone therapist's letter is also best supportive.
A: The best budget hotel nearby PAI is 1,800 THB/net include breakfast (studio room).
A: Yes, you can. But you must provide proof of psychiatrist or hormone therapist to qualified SRS and in the letter, your psychiatrist or therapist must written the patient is request zero depth or minimum depth for surgery in English.
A: For patient who under 20 years old. But must be fully 18 years old. 1. Psychiatrist evaluation written in English. This can be one letter. 2. Endocrinologist to explain and how long you have been taking hormone. 3. Parent must come with you to sign a permission (consent form) allowing surgery. This can be father or mother. 4. Must be in good health. Pre-screen labs and questions will be communicate via email.
A: It is importance to double check with your voice surgeon or written in the letter. Please inform your voice surgeon that we (PAI), general anesthesia will using tube size 6.5-7 or a little bigger. No smaller size. Is there any side effect ? If not, sex reassignment surgery can be perform.
A: The standard technique is Penile Skin Inversion (PSI). By PSI, this is most qualified long researchers (in house researchers and international public researchers) reliable accepted technique - compare with Penile Peritoneal Vaginoplasty (PPV) technique.
A: That’s right. Start on arrival date at the airport: - (Day 0) PAI’s driver will pick you up at the airport anytime. - (Day 0) Check in hotel for rest. - (Day 1) In the next morning, PAI’s driver will pick you up from hotel to PAI’s clinic. Direct consultation is set in the morning and then medical health exams. - (Day 2) Other preparation before surgery (labs, if need) - (Day 3) Surgery date (check out hotel, if need) - (Day 3 to Day 8) Stay in hospital for recovery. - (Day 8) Discharge from hospital after doctor visit. This is normally discharge at noon. - (Day 8) Check in hotel. - (Day 8 to Day 17) Stay in hotel for recovery period and come to PAI’s clinic by appointments. PAI’s driver will pick you up from hotel to PAI’s clinic. - (Day 18) Check out hotel in the afternoon. - (Day 18) You are able to fly home after day 18 or plan to be in Bangkok with us at least eighteen days all together for SRS (Penile Skin Inversion)
A: Bowel prep for penile skin inversion (SRS), this will be preparation after direct consultation here in Bangkok. About after surgery, you can eat normal meals well cooked. But avoid any spices and alcohol at least 2 weeks, after surgery date.
A: Yes. You can consult with doctor beforehand via email and then finalize can be choose during direct consultation.
A: Your friend is welcome with you and able to stay with you in hospital too. The hospital will provide pillow and blankets with sofa bed for your friend. There are many local and international restaurants inside hospital. Your friend will enjoys. But for you, we have meals included with surgery fee while in hospital. Otherwise, your friend can wait in hotel to see you after discharge from hospital. If prefer to wait at the hotel and he is able to take a taxi to visit you in hospital too. A taxi meter from hotel to hospital is around 6 USD/trip.
A: All related to SRS (MtF surgery), please direct email by consult@pai.co.th
A: Electrolysis hair removal from (SRS) Penile Skin Inversion or with Scrotal Skin Graft, these are optional. The surgeon will also scrape the root of hair from penile and scrotal skin during surgical times (hair follicle scraping). Indeed, still comfortable with electrolysis hair removal ahead of times before arriving to be surgery. We are recommend at least two sessions and should be finished at least four weeks before arrival Bangkok. The area should be considered for electrolysis hair removal at middle part of scrotum.
A: From penile skin and prepuce.
A: Reconstruction clitoris and the less will be place in the area between clitoris and size of urethra.
A: Bulbourethral glands, these are keep.
A: No you don't. However, we encourage you to follow up with any primary physician care such as gynecologist in your home town.
A: Yes. We will issue the letter after gender reassignment surgery. You may consider updating your name and identification in your country.
A: If you live oversea. We can forward all information on line (email) and able to arrange everything include pre-screen ahead of time.
A: Mostly, we are recommend transgender women to stay in Bangkok at least fourteen days (14 days) for post surgery.
A: You should be in Bangkok at least 14 days after surgery date or 18 days included before and after surgery.
A: Yes. Specific documents such as fill out a medical form and referral letter (psychiatrist or hormone therapist) written in English. Psychological consultation can also refer after direct consultation at Preecha Aesthetic Institute (PAI). We will refer to consult with Thai’s psychiatrists. All speak in English. This is a part of WPATH/AsiaPATH as well as follow Thailand Medical Law for transition surgery.
A: Let’s say able to walk slowly in hospital) after 3 nights surgery. To resume normal activities, this is require at least eighteen days (18 days) after surgery date. But avoid heavy lifting for 3 months after surgery date.
A: We speak English. Mostly, our patients (90%) are traveling alone for transition surgery. But able to bring anyone to accompany. This is free of charge.
A: Laser hair removal or Electrolysis hair removal on genital area before having sex reassignment surgery, this is just an option. During surgical, the surgeon will also scrape the root of hair from penile and scrotal skin (hair follicle scraping). However, if you are too worried. Laser hair removal or electrolysis hair removal should be finished at least a month before surgery date.
A: Please keep your psychologist letter to Bangkok. No problem if year 2018 (not an update yet). However, you still have to direct consultation with Thai's psychiatrists (2 doctors) here again in Bangkok. We will refer to see Thai's psychiatrist and interview by English, Italian, Chinese, French, German, Japanese, Turkish, Spanish. So your 2018 psychologist letter is one of the best supportive document. Note: As Thailand Medical, all patients who coming for SRS must also approved by Thailand Medical LAW as well as follow by WPATH, AsiaPATH.
A: We will organize Thai psychiatrists after direct consultation at Preecha Aesthetic Institute (PAI). We will take you to hospitals to see Thai’s psychiatrist consultation.
A: We are all fluent in English and able to provide all major interpreters any language such as Chinese, French Italian, German, Spanish, Japanese, Turkish or upon requests.
A: All processes are same as oversea patient. 1. Psychiatrist or hormone therapist referral letter is a must have. This should be written in English. 2. Fill out a medical form and then forward back to us again. The doctor must firstly review and comments. You may write us question via email. consult@pai.co.th
A: Surgery fee is already included : pre-operative assessments, the surgery itself, post-operative care, 5 days in hospital and hospitalization fees. But exclude such as hotel, any extra health check due from any sign indicate from general requirement health check, which need more specific check.
A: We don't do any options for installment payments. We are accepted cash from any major currencies or credit cards (VISA & Master card).
A: No, there are not. All oversea patients are same requirements.
A: For SRS Penile Skin Inversion, please double check with surgery fee again via email. Consult@pai.co.th With surgery fee, the package is also included : • Accommodation for 5 days in hospital private room after surgery for Penile Skin Inversion • Operating Room Charges: OR Room Use, Recovery Room, Scrub & Circulate Nurse • Regular menu food charges during recovery period in hospital • Laboratory Testing: necessary for the procedure as CBC, EKG, UA, Anti -HIV, Chest X-Ray ( If age over 45 need to check Cardiology. An extra charge is 100 USD + - ) • Medical Equipment and Medical Supplies • General Anesthesia – Pre-Anesthetic Drugs, Anesthesia and Medical Gas (Oxygen, Nitrous Oxide) • Free two sizes of plastic GRS Dilator penile skin inversion, if acrylic dilator per set is 120 USD (3 sets) for Penile Skin Inversion • A pack of sanitary napkin ring • Medical Treatments • Doctor fees • Anesthesia fees • Nursing services • Take home medication and supplies • Post op cares • Transportation picks up You must be in Thailand 15 days with post-op cares for Penile Skin Inversion. (Require to be in Bangkok 17 days for Penile Skin Inversion included before and after surgery.
A: consult@pai.co.th
A: We will communicate via email to exchange details. Every documents can forward on-line before arrival. Therefore, if all are clears. The surgery will be set within 3 days after initial consultation.
Write your question, interest at consult us in program form
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