+66 (0) 2 715 0111
consult@pai.co.th
Penile Skin Inversion with Scrotal Skin Graft
Penile Skin Inversion with Scrotal Skin Graft – Male-to-Female Sex Reassignment Surgery (SRS)
Patient Experiences
“I am a trans woman who wants to have a female sex organ and live fully as a woman. Over the past three years, I have undergone hormone replacement therapy (HRT), facial feminization surgery, and voice feminization surgery. I have also lived socially as a woman for more than a year. Bottom surgery is my next step. I believe that having a functional vagina will give me greater confidence in my identity and comfort in intimate situations. After researching different techniques and speaking with others in the trans community, I believe that Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG) is the best option for me. I hope it will provide a natural appearance, proper function, and comfort after surgery.”
“I have been on HRT since 2018 and have lived as a woman even longer. Most people cannot tell that I am transgender, and I feel truly happy in this life. However, I still feel something is missing — I have always wished for a vulva. This surgery has been my dream. After hearing positive experiences from friends and seeing results from patients at PAI, I feel confident about moving forward.”
“I have always known I am a woman born in a male body. After five years of HRT and breast augmentation, this is the final step for me. I want a vagina that allows for penetrative sex with my long-term partner and frees me from the discomfort of daily tucking. I understand the importance of aftercare and am ready to adjust my lifestyle to support recovery. Penile Skin Inversion with Scrotal Skin Graft is the surgery that will finally complete my transition.”
Goals of MtF Surgery: Penile Skin Inversion with Scrotal Skin Graft
What Is Penile Skin Inversion with Scrotal Skin Graft?
Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG) is a male-to-female sex reassignment surgery (SRS) technique that uses the penile skin envelope and glans penis tissue to construct a neovagina with adequate depth. When additional tissue is needed, a graft is taken from the scrotum, abdomen, or groin.
This method – also known as inverted peno-scrotal flap vaginoplasty – provides:
Dr. Preecha Tiewtranon, recognized as a pioneer of sex reassignment surgery in Thailand, together with his highly skilled team, has developed and refined these techniques for decades.
The PAI surgical team includes (Board Certified in Plastic & Reconstructive Surgery, Thailand):
Their surgical approach emphasizes:
With extensive experience and continuous innovation, the results of PSI + SSG closely resemble biological female genitalia.
How It Works
Surgical Planning and Guidelines
General recommendations based on penile length (erect):
Setting Realistic Expectations
Open and honest communication with your surgeon is essential to achieving the best results. Patients should maintain realistic expectations and understand what cosmetic and reconstructive surgery can – and cannot – accomplish in the context of gender-affirming surgery.
“Expert MtF SRS and FFS procedures available at Preecha Aesthetic Institute for transgender women.”
Our comprehensive package for Male-to-Female Sex Reassignment Surgery (SRS) using the Penile Skin Inversion with Scrotal Skin Graft technique includes:
Sensation + Anatomy ¦ Penile Skin Inversion with Scrotal Skin Graft
Aesthetic, Depth, Sensation, Lubrication and Elastic.
Assoc. Prof. Preecha Tiewtranon, MD, Sutin Khobunsongserm, MD, and Burin Wangjiraniran, MD, FRCST
Our accomplished Penile Skin Inversion with Scrotal Skin Graft (PSI with SSG) for trans women combines functional and aesthetic outcomes. This procedure includes creation of a clitoris and labia (minora and majora), vaginal introitus, shortening of the urethra, orchiectomy, and penectomy. A urethral opening is created to allow a natural downward urinary stream. Erectile tissue is completely removed to prevent narrowing of the introitus and urethral protrusion during sexual arousal.
The surgery preserves orgasmic function, optimizes vaginal depth and size, utilizes scrotal skin grafts, minimizes scarring, enhances aesthetic appearance, and supports natural lubrication for realistic outcomes.
Gender-Affirming Surgery – Penile Skin Inversion with Scrotal Skin Graft (MtF SRS)
This one-stage procedure combines sensational glans clitoris creation, labiaplasty and improved vaginoplasty depth to provide both functional and aesthetic results for transgender women.
Sex Reassignment Surgery (SRS) Techniques at Preecha Aesthetic Institute
At Preecha Aesthetic Institute, we offer three advanced techniques for Male-to-Female (MtF) Sex Reassignment Surgery (SRS), each designed to provide functional and aesthetic results, including orgasmic sensation through creation of a glans clitoris, labiaplasty, and vaginoplasty in a single stage.
1. Penile Skin Inversion (PSI)
Requires external lubrication with KY Gel or similar before sexual intercourse.
2. Penile Skin Inversion with Scrotal Skin Graft (PSI with SSG)
Requires external lubrication before intercourse; provides enhanced vaginal depth and aesthetic appearance.
3. Sigmoid Colon Vaginoplasty with Penile Skin Inversion
Uses sigmoid colon tissue for self-lubrication during intercourse.
Note:
Lubricate: Apply gel before sexual activity.
Self-lubricate: Natural lubrication occurs during intercourse (sigmoid colon technique).
The Best Candidates for Penile Skin Inversion with Scrotal Skin Graft (PSI with SSG) at Preecha Aesthetic Institute
At Preecha Aesthetic Institute (PAI) in Bangkok, Thailand, we specialize in advanced Male-to-Female (MtF) sex reassignment surgery (SRS) and gender-affirming procedures. One of the most commonly performed techniques for bottom surgery is Penile Skin Inversion with Scrotal Skin Graft (PSI with SSG), offering natural results and long-term satisfaction for transgender women.
PAI is a proud member of the World Professional Association for Transgender Health (WPATH) and Asia PATH, following the internationally recognized Standards of Care (SOC). These guidelines ensure that every patient receives safe, ethical, and evidence-based treatment from our team of highly skilled surgeons.
WPATH and Asia PATH are global leaders in transgender health, dedicated to improving access to safe medical care, advanced surgical techniques, and supportive pathways for gender-diverse people. Their mission aligns with our commitment to helping transgender women achieve lasting comfort with their gender identity and overall self-fulfillment.
At PAI Bangkok, candidates for Penile Skin Inversion with Scrotal Skin Graft are carefully assessed according to the WPATH and Asia PATH Standards of Care. This ensures that every patient is fully prepared, both physically and emotionally, for a successful transition. By choosing PAI, you can trust that your journey is supported by internationally recognized guidelines, experienced surgeons, and compassionate care.
By meeting these criteria, patients can be assured that their transition journey at PAI Bangkok, Thailand, is handled with the highest standards of care, safety, and professionalism.
Preecha Aesthetic Institute (PAI) - Pioneer in Sex Reassignment Surgery in Thailand
Preecha Aesthetic Institute (PAI) is the first multidisciplinary aesthetic and reconstructive surgery center in Thailand, and it is internationally recognized as a pioneer in Sex Reassignment Surgery (SRS) for both Male-to-Female (MtF) and Female-to-Male (FtM) patients. Since its establishment in 1980, PAI has been a global leader in gender-affirming surgery and aesthetic medicine.
Our modern facility is equipped with 10 consultation rooms, 6 operating rooms for procedures under local anesthesia, advanced surgical technology, comfortable recovery rooms, and an internationally certified hygienic system that meets global standards.
Consultation and Preparation
All consultations, medical check-ups, pre-surgical preparation, and follow-up appointments are conducted at Preecha Aesthetic Institute in Bangkok. Patients benefit from personalized care and direct access to our team of highly experienced surgeons and medical professionals.
Surgery and Hospitalization
For Male-to-Female Sex Reassignment Surgery (Penile Skin Inversion with Scrotal Skin Graft), procedures are performed under general anesthesia at one of our two affiliated international standard private hospitals in Bangkok. These hospitals are JCI-accredited (Joint Commission International), offering:
Patients undergoing SRS Penile Skin Inversion with Scrotal Skin Graft typically stay in the hospital for five days under the care of experienced medical staff before continuing recovery with follow-up appointments at PAI’s clinic.
Our Commitment
At Preecha Aesthetic Institute, we combine world-class medical standards with Thai hospitality, ensuring every patient receives safe, compassionate, and professional care throughout their transition journey.
Preecha Aesthetic Institute
Affiliated hospital
Affiliated hospital
Patient Support Services at Preecha Aesthetic Institute (PAI)
At Preecha Aesthetic Institute (PAI), we understand that traveling abroad for surgery can feel overwhelming. That’s why we provide comprehensive patient support services to ensure comfort, convenience, and peace of mind throughout your journey.
With these added services, patients can focus on their recovery while we handle the logistics. Our goal is to make your experience at PAI Bangkok, Thailand as smooth, safe, and stress-free as possible.
Preecha Aesthetic Institute (PAI) – Pioneer in Sex Reassignment Surgery in Thailand
Preecha Aesthetic Institute (PAI) is a world-renowned center for sex affirmation surgery and is widely recognized as the pioneer of Sex Reassignment Surgery (SRS) in Thailand. Located in Bangkok, PAI was founded by Assoc. Prof. Preecha Tiewtranon, MD, together with Dr. Sutin Khobunsongserm, MD and Dr. Burin Wangjiraniran, MD, FRCST.
Over the past 40 years, our surgeons have continued to refine and advance surgical techniques for vaginoplasty and other gender-affirming procedures. With more than 6,000 successful surgeries performed, including Penile Skin Inversion (PSI), Penile Skin Inversion with Scrotal Skin Graft (PSI with SSG), Sigmoid Colon Vaginoplasty and Secondary Sigmoid Colon Vaginoplasty. PAI has earned a global reputation for excellence and innovation.
(Source: “Male-to-Female Vaginoplasty: Preecha’s Surgical Technique,” NCBI Literature Resources, Oct 30, 2022)
Our doctors are not only highly skilled surgeons but also respected researchers and international guest speakers at leading academic and medical universities. Their contributions have shaped modern transgender healthcare, making PAI a specialized reconstructive center with a reputation for safety, precision, and compassionate care.
Today, Male-to-Female Sex Reassignment Surgery at PAI is performed by: (Board of Plastic & Reconstructive Surgery, Thailand)
Together, they uphold the philosophy of delivering world-class medical standards with the warmth and hospitality Thailand is known for.
All your questions will be direct answers from PAI's doctors.
Once all are confirmed. To set up direct consultation and schedule surgery date.
Safety and Risks of Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG)
Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG) vaginoplasty is considered a safe and effective Male-to-Female (MtF) surgery when performed by experienced surgeons. However, as with any major surgical procedure, patients must understand that there are risks involved. On average, the complication rate is estimated at 1-3%, and patients should be prepared to accept this risk as part of the transition process.
Most complications, if they occur, are minor, self-limiting, or easily managed with minor interventions. Possible issues include delayed wound healing or small areas of tissue irregularity. Fortunately, these complications can often be minimized by closely following the surgeon’s postoperative instructions and attending all recommended follow-up appointments.
At Preecha Aesthetic Institute (PAI) in Bangkok, Thailand, our team emphasizes patient safety, careful monitoring, and personalized aftercare to ensure optimal healing and long-term satisfaction with the results.
HIV Positive Patients – Surgical Requirements and Policy
At Preecha Aesthetic Institute (PAI), we are committed to patient safety and strictly follow international standards of infectious disease control. HIV positive patients are welcome to undergo Sex Reassignment Surgery (SRS) in Thailand, provided they meet specific health criteria.
As part of our infection control protocol, an additional 50% charge on the surgery fee will apply for HIV-positive patients. This policy is in accordance with the requirements of the Infectious Control Center to ensure the highest level of safety for both patients and medical staff.
At PAI, we maintain a non-discriminatory approach while prioritizing health, safety, and successful surgical outcomes for every patient.
Penile Skin Inversion with Scrotal Skin Graft after 20 days and 4 months
Penile Skin Inversion with Scrotal Skin Graft after 2 months.
Penile Skin Inversion with Scrotal Skin Graft after 4 months.
Penile Skin Inversion with Scrotal Skin Graft after 12 months.
Penile Skin Inversion with Scrotal Skin Graft after 1 month and after 3 months with dilator size # 2.
Penile Skin Inversion with Scrotal Skin Graft after 3 months.
Penile Skin Inversion with Scrotal Skin Graft after 12 months.
Penile Skin Inversion with Scrotal Skin Graft after 2 months.
Penile Skin Inversion with Scrotal Skin Graft after 2 months.
Penile Skin Inversion with Scrotal Skin Graft after 5 months and 8 months post op.
Penile Skin Inversion with Scrotal Skin Graft after six weeks post op.
Penile Skin Inversion with Scrotal Skin Graft after twelve weeks post op.
Penile Skin Inversion with Scrotal Skin Graft after two years post op.
Penile Skin Inversion with Scrotal Skin Graft after six years.
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
Pre-Operative Instructions for Gender Reassignment Surgery (SRS)
Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG)
At Preecha Aesthetic Institute (PAI) in Bangkok, Thailand, we perform Male-to-Female (MtF) Sex Reassignment Surgery (SRS) using the Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG) technique. This method, also known as the inverted peno-scrotal flap, is considered a standard and widely trusted technique for vaginoplasty in transgender women.
To ensure the best results and a smooth surgical experience, please follow these pre-operative guidelines carefully:
Before Your Surgery
Payment Information
Things to Bring from Home for Male-to-Female (MtF) Surgery
Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG)
To make your recovery and hospital stay as comfortable as possible, patients are advised to bring the following items from home:
Bringing these items helps ensure a comfortable, safe, and stress-free recovery after surgery at Preecha Aesthetic Institute (PAI), Bangkok, Thailand.
Typical Timeline for Male-to-Female Sex Reassignment Surgery (SRS)
Penile Skin Inversion with Scrotal Skin Graft (PSI + SSG)
Performed by Preecha Aesthetic Institute (PAI), Bangkok, Thailand
To ensure a smooth surgical experience and safe recovery, the following minimum 18-day schedule is recommended for patients undergoing MtF sex reassignment surgery:
Total Minimum Stay: 18 days (including pre- and post-surgery recovery period)
This structured timeline ensures patients receive comprehensive medical supervision, proper postoperative care, and sufficient time to recover comfortably after surgery.
Pioneer in Sex Reassignment Surgery
Preecha Aesthetic Institute (PAI) is recognized as the first multidisciplinary plastic surgery center in Bangkok, Thailand, and a global pioneer in sex reassignment surgery (SRS).
Surgical procedure Penile Skin Inversion with Scrotal Skin Graft Male to Female Reassignment Surgery at Preecha Aesthetic Institute (PAI).
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.
Keynote MtF surgery by Penile Skin Inversion with Scrotal Skin Graft: The method penile skin inversion with scrotal skin graft. (PSI plus SSG for medium size penis), refinements deeper vaginal consist of cavity by the penile flap, skin graft, 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.
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
Results
The Male to Female SRS is done in one stage with result of
a. Sensate Glans- Clitoris
b. Neourethra
c. Vulva Floor
d. Labia major and minor
e. Neovagina
Possible Risks and Complications
i. Infection; Usually only minor wound infection. There are no pulmonary or systemic infection.
ii. Wound disruption; Only at the fourchet of the new vagina perineum due to high tension at the area, will require only wound care and heal spontaneously in one month.
iii. Short Vagina; Normally you will get the depth of 5- 6 inches, at first, depth will be deeper after 6- 12 months due to the maturation of scar and yield more elasticity.
In case of very short vagina, the second operation can be done after ten months+ by secondary sigmoid colon procedure, which is same recovery plan.
The other complications which were mentioned in the literatures such as the urethra vaginal fistula, Pulmonary thromboembolism, extensive bleeding, serious infection have never occurred in our experiences.
Post-op recovery for Penile Skin Inversion with Scrotal Skin Graft.
Recovery timelines:
You need to stay recuperate nearby PAI's clinic totally in Bangkok at least 14 days for Penile Skin Inversion plus Scrotal Skin Graft before safely flying back home. Some people may also require five to seven days recuperate at home before returning to work. This is depend on how well your body recovery. The neovagina can function within 6 weeks. Major stiches will be removed after 7- 10 days.
Other rare side effects MtF surgery Penile Skin Inversion with Scrotal Skin Graft:
i. Unable to urinate, it can occur sometime after removing the urine catheter, due to the swollen stump at the opening of the shortened urethra which will need the urine catheter to be retained of a few more days, eventually you will be able to urine normally.
ii. Bleeding; You may experience oozing blood around the gauze dressing the first day after surgery due to bleeding thru the stump of urethral opening, may require repacking or suturing.
GRS Dilator by Preecha Aesthetic Institute for Medical used only.
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. After departure from Thailand, you may resume to work within a few days but must avoid heavy lifting object over the head or fast movement during 8 to 12 weeks after surgery date.
◊ Any bruising and swelling will usually dissipate within 4 to 8 months after sex reassignment surgery Penile Skin Inversion with Scrotal Skin Graft.
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 and Scrotal Skin Graft (SRS)
Vaginoplasty Recovery Timeline: Penile Skin Inversion + Scrotal Skin Graft
First 6-8 Weeks
During this critical early recovery period, patients should avoid strenuous activities, including sexual activity. This precaution helps prevent complications such as wound reopening or delayed healing.
At 8 Weeks
Most patients can begin gently exploring the clitoral area with their fingers. Since nerve endings are still healing, sensations may feel different, reduced, or muted. Gentle massage and light stimulation can support nerve regeneration and enhance long-term sensitivity.
At 3 Months (12 Weeks)
Around this time, most patients can safely resume penetrative vaginal intercourse, oral sex, and anal sex. By this stage, surgical incisions are typically healed, and the neovaginal tissue has become strong enough to tolerate regular activity.
3-6 Months
Many patients notice a gradual return of erotic sensation in the clitoris. Orgasms often become more frequent and more intense. Recovery timelines vary, and for some individuals, full sensation and sexual function may take up to one year to return.
Key Considerations for Resuming Sexual Activity After Vaginoplasty
Start Slowly
Once your surgeon has cleared you, reintroduce sexual activity gradually. Pay close attention to your body’s signals, noticing what feels comfortable and what may cause discomfort.
Use Lubrication
Because the neovagina does not produce natural lubrication, generous use of a water-based or silicone-based lubricant is essential. This helps ensure comfort, reduces friction, and lowers the risk of tearing or injury.
Maintain Dilation
If your procedure involved the creation of a vaginal canal, it is important to continue following your prescribed dilation schedule to maintain vaginal depth and prevent narrowing. Over time, your surgeon may advise that regular penetrative intercourse can substitute for some dilation sessions.
Patience and Communication
Emotional and psychological recovery are just as important as physical healing. Open communication with your partner is key, and it is normal for your sexual experiences, preferences, and comfort levels to evolve over time.
Common normal after Male to Female surgery – Penile Skin Inversion with Scrotal Skin Graft
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.
-Dilating is the most important thing you can do to ensure the success of your surgery. If you do not keep dilate as daily basis, the result SRS Penile Skin Inversion with Scrotal Skin Graft may cause of shortening depth and scar contraction.
-Failure to dilate properly can result in serious injury. Your surgeon will giving instruction how to gently dilate into the right direction after the vaginal packing is removed at Preecha Aesthetic Institute.
- The first time dilation may a bit painful for the first weeks. Continue dilation is essential to developing maximum depth vaginal canal.
is the inverted peno-scrotal flap. The use of skin graft, scrotal skin graft is perform to extend vagina depth.
4.5 hours+
General Anesthesia
20 days
12 weeks
Several months to a year
Sex Reassignment Surgery’s planning times Penile Skin Inversion with Scrotal Skin Graft
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)
Transportation during recovery period in Bangkok will be accompanied by PAI. This must be within 2 KM from Preecha Aesthetic Institute.
For HIV positive - An extra charge is 50% from total cost of surgery fee. CD 4 must be > 500 +. Viral load must be undetectable with good health conditions.
Doctor Burin - You're my second father
Antonia
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: Advise to wait at least 2 weeks after surgery before driving a vehicle. When start driving again, does so over short distances, long distance makes frequent stops to walk and urinate.
A: Please wait around 3 months or until no more vaginal discharge before having oral sex or sex with vaginal and anal penetration.
A: To be reach orgasm is depending on each person. Take time to explore and feel your genitals to rediscover your erogenous zones. Mostly, this is after 2 months surgery.
A: I was lucky that my mother has a doctor friend, who happens to be a great surgeon. She recommended me to a doctor at PAI. The best thing was their greatest cares.
A: You must consult with psychologist and see if you are truly ready to get it done.
A: Based on patient’s, I woke up feeling vey blurry. There were tubes everywhere. The saline drip was inserted into my left hand and the pulse rate meter on the right. There was also a tube attached into the bulging part of my new female sex organ to take the blood out of my body. I was also new to the whole female peeing thing so, they had another tube inserted into my urethra to ease me into the process. On the third day after surgery, my body got used to the new organ and I was ready to pee on my own.
A: As patients’ feedback, I have more confidence, and feel more like myself. People keep telling me that my body shape really changed and looks more feminine in every way. In terms of sex, I have the same feeling as any women.
A: Yes. We can set up combination packages for SRS, Facial Feminization and Breast Augmentation together.
A: We cannot guarantee, because even natural female do not all have orgasm. But 80-90% of our patients reported orgasm.
A: The doctor will perform the best for you.
A: Our price includes all post-operative medical and hospital costs arising from the surgery. However, where additional medical symptoms arise in a patient that are not directly related to the surgery undertaken, but are because of a known or unknown prior medical condition that manifests itself while under the care of Preecha Aesthetic Institute the costs involved with treatment of these is are expressly excluded from the prices quoted. Patients are therefore strongly recommended to arrange medical insurance to cover the eventuality of non-related medical costs arising while staying under our care.
A: There is no age limit for surgery, if you are healthy and passed the lab tests or medical checkup before surgery. You may consider Facial surgery, breast and SRS at the same trip for cost saving or select the procedure that you want as the first trip. But if Breast Augmentation, Facial Surgery with SRS, the healing time in Bangkok is 15 days, after surgery as requirement.
A: The goal of SRS (MtF surgery) here at Preecha Aesthetic Institute (PAI), all patients must receive appearance and overall realistic.
A: Yes. Facial Feminization Surgery (FFS) can be performing together with SRS and Breast
A: Local Thai’s psychiatrist doctor is a must because we are following WPATH/Asia PATH and Thailand Medical Law. All patients (SRS) must also consult with a Thai’s psychiatrist, if already got at least one letter psychiatrist oversea. We will arrange Thai’s psychiatrist on consultation day.
A: If you can provide two psychiatrist letters that proof for your SRS. We may consider to be performing SRS earlier. However, transgender and gender diverse persons may require medically necessary gender affirming hormone therapy to achieve changes consistent with their embodiment goals, gender identity or both at least 12 months.
A: Base on your questions, you met our general requirements. Sex affirmation surgery or sex-change operation is a term for the surgical procedures. You can firstly fill out a medical form or contact us via email consult@pai.co.th to be prepared surgery. Don’t worries SRS and breast augmentation can be perform at the same time with combine procedures. However, you must be in good health conditions. All information will direct email.
A: You can choose srs penile skin inversion with scrotal skin graft. For future information, sample result, please email to consult@pai.co.th
A: Yes. You still need to get one letter from Thai's psychiatrist here. We will refer you to hospital for finalized with Thai's psychiatrist. Please understand that we are strictly with letter because follow WPATH, Asia PATH and Thailand medical law. Your letters from home country are best supportive. Cost of Thai's psychiatrist interview is around 1,800 THB.
A: Schedule/planning at least 1 month ahead of time.
A: No. (this is not necessary but just an option). For your sake, even thru, the surgeon will also scrape the root of hair from penile and scrotal skin during surgical times (hair follicle scraping).
A: No problem. The doctor here will scrap hair roots during surgery.
A: The answer is not truly. PPV’s technique is same as Penile Skin Inversion with Scrotal Skin Graft. But some may say PPV’s technique is created more depth + permanent if compare with skin graft. Note: PPV’s technique is not yet qualified in good researchers or paper proof. In addition, PPV’s does not get self-lubricating. Many patients are confusing about PPV’s which claim better than Penile Skin Inversion Skin Graft technique (PSI+SSG). Keep in mind that we are performing SRS all kinds since 1976, more than 46 years experienced (Pioneer Sex Reassignment Surgery Thailand) with no intention about PPV’s technique. Therefore, PPV’s technique needs more development.
A: We (PAI), general anesthesia will using tube size 6.5-7 or a little bigger. No smaller size. This must be notice by your voice surgeon. Is there any side effect ? If not, sex reassignment surgery can be perform.
A: Electrolysis hair removal, this is not necessary. You can skip. This is just an optional. Dr.Sutin and Dr.Burin, they will also scrape the root of hair from penile and scrotal skin during surgical times (hair follicle scraping).
A: Mostly, our patient are foreigners. They come to surgery by themselves. You can come to PAI’s clinic by yourself. But you must be fully 20 years old with all documents preparation. Once you are arrived at Bangkok International airport. You will see a PAI's driver waiting at meeting point.
A: Yes. Our doctors are willing to consultation via email beforehand. This is also included your health issue. However, you still need to finalize direct consultation before surgery. So the finalize need direct consultation here at PAI's clinic.
A: All related to SRS (MtF surgery), please direct email by consult@pai.co.th
A: Electrolysis hair removal from 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: Bulbourethral glands, these are keep.
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: Your BMI’s should not be over than 24.80. If over than 24.80, an extra change maybe applied.
A: Fourteen days after surgery date are minimum requirement to undergo SRS by Penile Skin Inversion with Scrotal Skin Graft.
A: Post op dilation, this is a must to do for all sex reassignment surgery techniques. You have to keep dilate at least 2 times a day (10 min each time+) and then increasing size of dilation after a month. To dilate, these can be morning and evening times. But if you have sexual intercourse after 3 months surgery, you can skip to dilate that day too.
A: Same.
A: Key requirements, you must provide at least one or two referral letters from qualified mental health professional and this can be hormone therapist. Understands the nature and purpose of gender reassignment surgery with good health condition and then question can be ask via email at consult@pai.co.th
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: Preecha Aesthetic Institute is also followed a standard health care by Thailand Medical Health Regulation as well as WPATH/AsiaPATH. All patients (MtF surgery) must also finalize by Thai's psychiatrists in Thailand. We will refer all Trans to consult with Thai's psychiatrists at international standard hospitals. However, your HRT or psychiatrist's referral letters from country are best supportive documents.
A: A guest can stay with you while recovery in hospital.. The hospital will provide a sofa bed, pillow and blanket (free of charge). They are many local and international cafeteria located inside hospital. Your guest can also enjoy meals. However, if they don't wish to stay in hospital while you are recovering. They may also stay in a hotel until you are discharge from hospital.
A: There are many hotels (3 to 5 stars) nearby PAI's clinic under cooperated. There is no need to stay at any expensive hotel. But cleans and hygiene. Hotels nearby PAI are between 50 USD - 70 USD per night include breakfast for 2 persons. All details can provide by PAI's assistance.
A: You can write all questions to us via email and your surgeon will answers for you. All details + scheduling can be exchange with this email address. However, you still need direct consultation and medical health check to be finalize everything before surgery date. Surgery can be set after direct consultation and medical health check, if all are clears.
A: Breast augmentation can be perform together with SRS as a package deal at the same time.
A: This is accepted. If you have your birth certificate, which includes both of parents' names and their identification numbers. Your mother needs to bring her identification card, which should serve to confirm your relationship.
A: Genital electrolysis or Laser hair removal or permanent genital depilation is unnecessary but optional. During your surgical times, the doctor will do all hair follicles manually excised (cut) from the scrotal skin and will not grow subsequently. However, if you prefer to do electrolysis or laser hair removal just for reassuring . This is also accepted. Please be finish session at least a month before surgery date. The use of electrolysis hair removal or laser hair removal should focus from perineal region (perineum) between anus to the scrotum.
A: If you’re planning to come to Bangkok, we highly recommend a direct consultation. However, most of our international patients don’t need to fly in just for that. Everything can be pre-screened, discussed, and coordinated via email, and then finalized during the same trip with both the consultation and surgery.
A: Since you do not have a GID or a referral letter from a hormone specialist or psychiatrist, the only option is to arrange consultations with two Thai psychiatrists here in Bangkok. If both psychiatrists provide clearance, your surgery can proceed. If not, the surgery cannot be performed at this time.
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