overview

The procedure is to remove testes by Bilateral Orchiectomy (BO) or an orchiectomy surgery or for those who not plan for gender reassignment surgery (Male to Female surgery) nearby future.

Orchiectomies are typically sought for Trans women who were presumed male at birth including non-binary to stop production of testosterone and sperm or to affirm their gender.

Bilateral Orchiectomy is for Trans women who still not yet ready with full transition (Male to Female surgery).

Having orchiectomy removal, the patient should take anti-androgen and some like a reduced medication regimen. Key note, if you (the patient) have plan to come for gender reassignment surgery Penile Skin Inversion, Penile Skin Inversion with Scrotal Skin Graft and Simoid Colon nearby future. Dr.Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, MD and Dr.Burin Wangjiraniran MD FRCST do not recommend to perform orchiectomy surgery ahead of times because orchiectomy to remove testis and remove scrotal skin, which may cause tighten skin. Of course the skin around scrotal area has already removed from orchiectomy surgery. There are causing minor limitation to using extra skins to reconstructive neo-vagina for full sex reassignment surgery (SRS) such as labia majora and depth of vagina canal, etc.

Bilateral Orchiectomy (BO) at Preecha Aesthetic Institute’s follow by Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD FRCST and Dr.Sutin Khobunsongserm MD, all surgeons are Board of Plastic & Reconstructive surgery. The procedure is performed under general anesthesia. This is an important that patient having or showing a sensible, practical idea and the surgeon will explain about what can be achieve or expect about reconstructive surgery can and can not do.

visit more gender affirming surgery (MtF surgery), body contouring cosmetic surgery and facial feminization surgery

Bilateral Orchiectomy candidate

PAI (Preecha Aesthetic Institute) Dr.Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, MD and Dr.Burin Wangjiraniran MD FRCST (we) follow WPATH/HBIGDA or SOCs or Asia PATH, this is Standards of care for gender identity disorders – WPATH (World Professional Association for Transgender Health) the earliest sets of clinical guidelines for the express purpose of ensuring “lasting personal comfort with the gendered self in order to maximize overall psychological well-being and self-fulfillment.” These standards are still the most well-known; however, other sets of SOCs, Asia PATH protocols and guidelines do exist, especially outside the USA.

  • Specific minimum requirements as prerequisites to HRT at least 12 months 
  • Much of the criticism surrounding the WPATH/HBIGDA/Asia PATH 
  • Psychological evaluation with 2 letters by qualified mental health professional
  • Highly controversial and often maligned document among patients seeking medical intervention (Hormones) unless there is contraindication or the patient is unwilling to
  • Understands alternatives
  • Retains information - and recalls the advantages and disadvantages
  • Understands concepts of permanence and irreversibility
  • Good health conditions
  • Must be over 18 year old

Package is include Bilateral Orchiectomy

Package is include for Bilateral Orchiectomy

  • Accommodation for 1 night in hospital private room after surgery (JCI accredited)
  • Operating room charges: OR room use, recovery room, scrub & circulate nurses
  • Regular menu food charges
  • Laboratory testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray. (An extra charge is 100 US Dollars + -, if age is over 45 years for cardiologist exams)
  • Medical equipment’s and Medical supplies
  • General anesthesia - Pre Anesthetic Drugs, Anesthesia and Medical Gas (Oxygen, Nitrous Oxide)
  • Medical treatments
  • Doctor fees
  • Anesthesia fees
  • Nursing services
  • Take home medication and supplies
  • Post op cares
  • Transportation pick up (optional)

An extra charge is 50 %, if HIV+ from surgery fee. CD 4 must be > 500 + and Viral load must undetectable. 

PREECHA AESTHETIC INSTITUTE AND AFFILIATED HOSPITALS - JCI-ACCREDITED INTERNATIONAL HOSPITALS

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.

  • Bilateral Orchiectomy (BO) is performed under General Anesthesia. This is required one night in hospital.

All cases under general anesthesia, PAI's using two major private International Standard affiliated hospital- JCI accredited for healthcare promoting center located in Bangkok under the philosophy of "World class quality with Thai hospitality", 230 to 500 private patient rooms, modern medical equipment, 24 hours emergency and accreditation for high quality. All direct consultations and follow up appointments are set at Preecha Aesthetic Institute.

  • Consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.
  • Two international standard hospitals - JCI accredited International Hospitals 
  • Surgical will perform an affiliated hospital ⇒ General Anesthesia ⇒ International Standard Hospital.
preecha aesthetic institute (PAI)

Preecha Aesthetic Institute (main's clinic)

Affiliated hospital

International Standard Hospital (JCI accredited)

Affiliated hospital

SERVICE ACCOMMODATION

  • Transportation pick up from airport –hotel-hospital-clinic-airport as well as follow up period (optional)
  • Hotel reservation within 2 KM from PAI's clinic
  • Interpreter services with any language

Risk of Bilateral Orchiectomy

All surgery carries risks – Infection and extensive bruising but can minimize by closely following your surgeon’s advice on follow up care during the healing process.

Health Concern

An extra charge is 50% from surgery fee, if HIV +

  • CD4 must be 500 +
  • Viral load must undetectable

QUESTIONS & SCHEDULE

Bilateral Orchiectomy (BO) is performed by Doctor Preecha Tiewtranon MD, Doctor Burin Wangjiraniran MD FRCST and Doctor Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand).

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD FRCST and Dr.Sutin Khobunsongserm MD, all Board of Plastic and 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.

  1. Write your question, interest
  2. List your expectations or procedure that you are interest and give us your detail as possible
  3. Email to us at consult@pai.co.th
  4. We will get back to you shortly after receive your question

Once all are confirmed. To set up direct consultation and schedule surgery date.

  • Plan your available date to be surgery and departure from Bangkok
  • We will confirm you for surgery date
  • You may start to book your airline ticket
  • We will confirm you all detail and hotel booking, if require
  • For transportation to be pick up from the airport, we need you to confirm your airline flight itinerary
Set up an appointment with us

1. Write your question, interest at consult us in program form

enquiry

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

surgical details:

During direct consultation with our surgeon – the surgeon Dr.Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, MD and Dr.Burin Wangjiraniran MD FRCST will evaluate your general health status and any pre-existing health conditions or risk factors such as examine and take measurements, take photographs, discuss your options and recommend a course of treatment and discuss likely outcomes of Bilateral Orchiectomy (BO) and any risks or potential complications.


  • Inform us about any allergies, any serious medical condition(s), and all medications you are
    taking (both prescription and non-prescription)
  • Qualify letter from Psychiatrist doctor or Hormone Therapist
  • No Aspirin 2 days before surgery
  • Stop vitamin E Oil 1 day before surgery
  • Stop smoking 2 days and a month after surgery
  • Stop Hormone, if taken 2 weeks before surgery date
  • Tell doctor if you have any serious medical condition(s)
  • Stop meal and water starting from midnight before surgery
  • Plan to be in Bangkok at least 9 days. Stitches will remove day 5 to 7 after surgery date

Bilateral Orchiectomy Dates :

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 - Check out (if necessary)

Day 2 - Surgery date with 1 night in hospital

Day 3 - Discharge from Hospital

Day 3 - Check in hotel

Day 3 to 8 – Stiches removal and final check ups

Day 9 – Departure date


 

Things should bring from home for Bilateral Orchiectomy (BO).

  • Button-up shirts in large sizes
  • Skirts (not too tight)
  • joggers or loose pants
  • Slip-on shoes or slippers
  • Phone charger, long phone charger
  • Books, magazines
  • Travel neck pillow
  • Personal medicines / HRT
  • Regular sanitary napkins, if prefer specific brand
  • Underpads

 

Surgical Bilateral Orchiectomy - One incision approximately 1-2″ long, made in the groin area. The testicles are then removed through the incisions and then closed using sutures. The patient will have a minimal amount of discomfort at the incision site for couple of days.

Patient is required to stay one night (an overnight) in hospital after orchiectomy. The recovery of orchiectomy surgery will take a week in Bangkok (stitches will remove 5 days after surgery date).

Specific instructions for your recovery will vary from surgeon to surgeon, and depending on where and what specific surgical techniques are used.

Recovery Timeline for Bilateral Orchiectomy by Preecha Aesthetic Institute.

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 - Check out (if necessary)

Day 2 - Surgery date with 1 night in hospital

Day 3 - Discharge from Hospital

Day 3 - Check in hotel

Day 3 to 8 – Stitches removal and final check ups

Day 9 – Departure date


 

Recovery time for BO surgery can take from 2 to 8 weeks. The patient won't be able to do any strenuous activity, lift heavy objects for at least a few weeks after surgery. Also should wait until the surgery site has fully healed before having sexual intercourse.


For local’s patient - You may resume to work after five days surgery but must avoid heavy lifting object over the head or fast movement during 3 to 8 weeks after surgery date.

For international patient - Please plan to be in Bangkok at least nine days all together. Stitches will remove day 5 to day 7 after surgery date. You may resume to work within a few days after depart from Bangkok but must avoid heavy lifting object over the head or fast movement during 3 to 8 weeks after surgery date.

◊ Any bruising and swelling will usually dissipate within 2 to 3 months after Bilateral Orchiectomy.


 

The pioneer Sex Reassignment Surgery and The first multidisciplinary plastic surgery center Thailand.

Preecha Aesthetic Institute award


 

surgery info:

services icon 1 150x150 1
TIME REQUIRED

1 - 1.30 Hours

services icon 2 150x150Anesthesia
Anesthesia

General Anesthesia

Back to work

8 days

services icon 4 150x150 Strenous Activity
Strenuous Activity

1 month

Fading of scars

Several months

Surgery Schedule

Schedule Appointment Consultation / Surgery / Question Bilateral Orchiectomy at Preecha Aesthetic Institute.

Once you know your planning date for surgery

Bilateral Orchiectomy's planning trip :

Day 0 - Arrival date (check in hotel)

Day 1 - Consultation and Prepare for Laboratory Testing

Day 2 - Check out (if necessary)

Day 2 - Surgery date with 1 night in hospital

Day 3 - Discharge from Hospital

Day 3 - Check in hotel

Day 3 to 8 - Stitches removal and final check ups

Day 9 - Departure date

testimonials

useful information

ADDRESS

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

MEETING POINT (AIRPORT)

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)]

HOTEL

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.

  • Special apartment 68 sq.m-131 sq.m with one to two bedroom/1 queen/master size bed, 1 bathroom (shower and bathtub), pantry and dining area, 2 Bottled water – complimentary for daily contract, bathroom (separated shower & bath tub), cable / Satellite TV, free wifi, dining Table/Chairs, Internet Access (wireless), kettle, LCD TV, refrigerator, slipper, toaster, air Conditioner, bath amenities - complimentary for daily, electronic Door Lock, iron & Ironing Board (on request), kitchenette - Full Equipment, microwave, safety box.

 

  • Hotel - studio room 46 - 58 sq.m - Features & Amenities: 40-in LED, sofa, in-room safe, minibar refrigerator, refillable tea/coffee/water, blackout curtain, free wifi, slippers, bathroom with rain shower, 100% natural therapeutic spa toiletries Mt. Sapola, hair Dryer, toothbrush and toothpaste, shower cap as well as a washing machine.

LANGUAGE

Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.

PASSPORT AND VISA

PAI can issue the letter to clarify with your local Embassy or Passport.

COST OF MEAL

Cost of living meal per day is 15-20 USD.

PAYMENT

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.

TOURIST VISA EXEMPTION (30 DAYS WITHOUT VISA)

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.

AIRPORT IMMIGRATION AND CUSTOMS

Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.

Frequently Asked Questions (FAQs)

Q: I have diabetes that’s why I can’t take hormones it’s ok to do orchiectomy?

A: Must update labs for pre-screen before accept surgery at least 4 weeks.

Q: I would like to have my SRS at PAI but I don't want to be turned down because the BO surgery in England/Europe has cause problems for PAI to continue with SRS.

A: The doctor does not want you to do BO before SRS, if you have plan to come for SRS in nearby. Because skin from scrotum area will get very shorter, which is the case (problem) for SRS. Without BO surgery, he can use more skin around those area to create neo-vagina canal more beautiful. SRS is also combine with BO at the same time. You don’t need to pay BO surgery in UK.

?

Set up an appointment with us.

Write your question, interest at consult us in program form

ENQUIRY NOW