overview

Sigmoid Colon, Primary Sigmoid Colon for Sex Reassignment Surgery Male to Female.

Sigmoid Colon or Primary Sigmoid Colon l Sex Reassignment Surgery (MtF surgery) is transposition technique combined the use of sigmoid and penile skin inversion for trans women.

One of goals using sigmoid colon is to be acheived vaginal depth canal (exceeding 6.5 inches + +, fifteen to eighteen centimeters), sensational glans clitoris, labiaplasty and self lubricate with organism.

Transsexual person is someone who was born into the wrong body. They have the body of one gender and the mind of the other. Transsexuals may be a female trapped in a male’s body or a male trapped in a female’s body. Gender Reassignment Surgery, Sex Reconstruction Surgery, Genital Reconstruction Surgery and Gender Affirmation (Confirmation) are also called in surgery terms.

Preecha Aesthetic Institute (PAI) is very well reputation in the Pioneer Sex Reassignment Surgery Thailand. We have been invitation from medical university oversea guest speakers , transgender conferences such hand on support information for all transsexuals and cross-dressers all ages in right path.

Sigmoid Colon with Penile Skin Inversion is for who need to be achieved vaginal depth more than 16.50 centimeters as well as who has limitation anatomy due from shortness genital (Short Penis < 2 inches (5 cm), when erect).

The result of Sigmoid Colon with Penile Skin Inversion (SRS), also preserved orgasmic capabilities, making neo vagina appearance overall realistic by self lubricate with orgasim (climax sexual excitement) Within these refinements, the result is possible to achieve very close to the biological female genitalia.

Sigmoid Colon (SRS) by Technique : Open technique’s required Body Mass Index (BMI) < less than 24.50, while direct health checks before surgery at Preecha Aesthetic Institute.

Sex Reassignment Surgery by Sigmoid Colon technique by Assoc.Prof.Preecha Tiewtranon MD, Burin Wangjiraniran MD FRCST and Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand), it is an 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.

Preecha Aesthetic Institute (PAI) we are followed the World Professional Association for Transgender Health (WPATH/HBIGDA or SOCs) and Asia PATH. These organizations are provided health cares, professionals to assist transgender and gender diverse people in accessing safe and effective pathways.

Visit more Sex Reassignment Surgery (SRS) and Facial Feminization Surgery (FFS) under Preecha Aesthetic Institute Bangkok Thailand.

Primary Sigmoid Colon

Gender Reassignment Surgery by Sigmoid Colon or Primary Sigmoid Colon technique.

  • Sigmoid Colon is self lubricating organism.  (No need to apply KY Gel during intercourse).
  • Tiny scar horizontal three inches++ under bikini line.
  • Sigmoid Colon is a good method for patient who prefer minimum at least 6.5 inches (17 CM) of vagina canal.
After (2 month) sigmoid colon sex change male to female surgery leading hospital thailand

Sigmoid Colon (SRS) after 2 months

SRS (Sigmoid) pic after 4 month..

Sigmoid Colon (SRS) after 4 months with dilator #2

Sigmoid Colon after 6 month m2f surgery preecha aesthetic institute

Sigmoid Colon (SRS) after 6 months

Package is included by Sigmoid Colon

Package is included for male to female surgery by Primary Sigmoid Colon:

  • Accommodation for 9 days in hospital private room by Sigmoid Colon (one night before surgery and seven nights after surgery)
  • Operating room charges: OR room use, recovery room, scrub & circulate nurses
  • Regular menu food breakfast, lunch and dinner during recovery period in hospital (vegetarians or vegans are also available)
  • Laboratory testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray
    (If age over 45, an extra charge for cardiology test is 100 US Dollars + - )
  • Medical equipment and Medical supplies
  • General Anesthesia - Pre anesthetic drugs, anesthesia and medical gas (oxygen, nitrous oxide)
  • A pack of sanitary napkin ring
  • Basic dilators (number 1 and number 2)
  • Mirror
  • BETADINE Solution one bottle and Saline water solution
  • Cushion sitting
  • Lubricate gel dilation or BETADINE scrub
  • Anti-biotic powder
  • Condom 2 boxes
  • Kidney shape tray/bowl
  • Rubber ball douching
  • Bed sheet a pack
  • Medical treatments
  • Doctor fees
  • General Anesthesia fees
  • Nursing services
  • Take home medication and supplies
  • Post op cares
  • Transportation pick up

Candidate for Primary Sigmoid Colon

Best candidate gender affirming surgery Male to Female surgery - Primary Sigmoid Colon / Sigmoid Colon.

  • Specific minimum requirements as prerequisites to HRT
  • Much of the criticism surrounding the WPATH/HBIGDA/Asia PATH
  • Psychological evaluation letter 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
  • Real-Life experience - Has a solid plan for gender affirmation
  • Physically healthy and emotionally stable with realistic expectations
  • Understands alternatives
  • Retains information and recalls the advantages and disadvantages
  • Understands concepts of permanence and irreversibility
  • Must be over 18 year old with good health condition with parent. Fully 20 year is able to come by yourself
  • Good health conditions
  • No previous surgery around Tummy area
  • No HIV+ 

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 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 consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.

  • SRS (MtF surgery) Sigmoid Colon is performed under General Anesthesia. Require nine days recovery in hospital.

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", 230 to 500 private patient rooms, modern medical technology equipment, 24 hours emergency and hospital accreditation for high quality. Direct consultations, preparation and follow up appointments are placed at Preecha Aesthetic Institute.

  • All 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

QUESTIONS & SCHEDULE

Leading reputation legacy the Pioneer Gender Affirmation Surgery by Doctor Preecha Tiewtranon MD, located in Bangkok Thailand and the first multidisciplinary cosmetic surgery center. SRS Male to Female surgery (Sigmoid Colon + PSI) 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) founder 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)

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD and Dr.Sutin Khobunsongserm MD

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

RISK of Sigmoid Colon (Male to Female)

Sigmoid Colon Vaginoplasty (MtF surgery) is a generally safe procedure. While complications may occur. Most are self-limited such as the formation, delay wound healing but can minimize by closely follow surgeon’s advice on follow up cares during the healing process. Specific risks are colon leakage, fistula, prolapes colon and colitis in the neo-vagina. 

HEALTH CONCERN

  • No HIV +
  • No previous surgery around waist area
  • Limitation of Body Mass Index (BMI) is required on surgery date

Sample result

incision sigmoid colon after seven day and one month surgery leading sex change surgery male to female center preecha aesthetic institute

Incision after seven days and one year surgery Sigmoid Colon.

sample result

scar incision sigmoid colon after five year male to female surgery

Incision after five years surgery Sigmoid Colon.

sample result

sigmoid colon male to female srs by preecha aesthetic institutre

After two months Sigmoid Colon.

sample result

post op Sigmoid Colon grs (mtf surgery)by preecha aesthetic institute

After six months Sigmoid Colon.

sample result

sigmoid colon with penile skin inversion male to female surgery srs the best sex reassignment surgery

After three months Sigmoid Colon.

 

sample result

primary sigmoid colon with penile skin inversion after 14 days and two months

After fourteen days and two months Sigmoid Colon.

sample result

sex change mtf surgery sigmoid colon penile skin inversion by preecha aesthetic institute

After four months Sigmoid Colon (SRS) with dilator size # 2.

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:

PAI (Preecha Aesthetic Institute), we are following WPATH/HBIGDA or SOCs or Asia PATH.

The 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.


Requirement & Good Candidate for Sigmoid Colon for Male to Female surgery at Preecha Aesthetic Institute

  • Specific minimum requirements as prerequisites to HRT
  • Much of the criticism surrounding the WPATH/HBIGDA/Asia PATH
  • Psychological evaluation letter 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
  • Real-Life experience
  • Physically healthy and emotionally stable with realistic expectations
  • Must be over 18 year old with good health condition with parent. Fully 20 year is able to come by yourself
  • Good health conditions
  • No HIV+ 
  • Body Mass Index (BMI) must less than 24.99 by open technique and laparoscopic must less than 21.00 on medical health checks
  • No previous surgery around waist area (tummy)

 

Pre op Sigmoid Colon / Primary Sigmoid Colon's guidelines

  1. Take light meals 3 days before surgery date. No vegetable 3 days before surgery date. More instruction will give right after direct consultation.
  • No Vegetables even well cook.
  • No food with high fiber (grains, cereal and pasta, fruits, legumes, nuts and seeds, vegetables)
  • No junk foods such as hamberger, French fries.

To eat:

  • Clear soups
  • Well cook from pork, fish and beef with very good mastication. But not be full stomach.
  1. Take breakfast as normal on consultation date. But light meals.
  2. Do not eat or drink anything from the midnight prior to your surgery including water, or chewing gum but little cup of water before 8:00AM is acceptation.
  3. Do not wear any make up.
  4. Wear clothes that are loose and comfortable. A button down shirt, flat shoes and loose pants are recommended.
  5. If you wear glasses, contact lens or dentures, bring a case with you.
  6. Take shower and wash your hair the night before or the morning of your surgery. Do not apply hair gel, hair spray.
  7. Do not smoke at least 2 weeks, if you can. This may interfere with healing.
  8. Stop multiple vitamins at least two days before surgery.
  9. Stop Aspirin two weeks before surgery.
  10. The prescriptions you were given are for after surgery. Have them filled ahead of time. If you didn’t get, we will be given to you prior to discharge from hospital.
  11. Pre-admission testing (Labs) will be required before surgery.
  12. Stop hormone, if taking 14 days before surgery date and able to continue 7 days after surgery date.
  13. Bring Cloth napkins (Certainty bed pads). You might need to be use on hotel bed
  14. Bring passport to clinic on consultation date.
  15. Surgery fee can be pay by cash (AUD, USD, JPY, EURO, CNY, THB, SGD, GBP, HKD and NZD). Please kindly prepare newest version bill and possible without scratch over bill.
  16. If pay surgery fee by VISA or Master Card. An extra charge is 3%.
  17. Plan to be in Bangkok at least 18 days after surgery date. Totals 23 day in Bangkok.

 

Things should bring from home for Primary Sigmoid Colon (MtF surgery)

  • 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

Primary Sigmoid Colon Male to Female surgery timeline periods by Preecha Aesthetic Institute (PAI)

Transportation services will be accompanied by PAI. But must be within 2 KM from Preecha Aesthetic Institute.

Day 0 - Pick up from airport and check in hotel.

Day 1 - Direct consultation at Preecha Aesthetic Institute.

Day 2 - Prepare for Laboratory Testing, Medical health check up and drink liquid laxative bowel clearance

Day 3 - In hotel for good rest

Day 4 - Check out hotel 

Day 4 - Surgery date move to hospital private room

Day 10 - Discharge from hospital after doctor visits
Day 10 to 22 - Check in hotel for recovery period and follow up on doctor appointments at Preecha Aesthetic Institute

Day 22 - Final checkup and prepare for letter fit to fly

Day 23 - Safe to fly and PAI’s escort to airport


 

Operation procedure Sex change Sigmoid Colon + Penile Skin Inversion by Preecha Aesthetic Institute Thailand - vaginal cavity is create between urinary tract (above) and rectum (below), Bilateral orchidectomy remove, glan penis neuro vascular flap, clitoral reconstruction, urinary tract, labia reconstruction from penile skin + skin flap, lower transverse abdominal incision, sigmoid colon mobilize + segment with vascular pedicle, sigmoid colon segment with double layer suture, colon anastomosis dose with double layer, pull down proximal end sigmoid colon through pelvic cavity+neovaginal cavity, promimal end sigmoid colon skin perineum, abdominal cavity, pelvic cavity, neovergina and abdominal wall closed layers.

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.


All consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.

Primary Sigmoid colon is performed under general anesthesia (required six days in hospital).

Surgery time required: 5 hours +.

Anesthesia: General Anesthesia.


 

Affiliated hospitals : Best JCI - accredited International Hospital 

Recovery Sex Reassignment Surgery : Primary Sigmoid Colon + Penile Skin Inversion is required to be in Bangkok at least 18 days after surgery and 23 days all together.

Back to work : after 23 days +. 

Strenuous activity : 6 - 8 weeks.

Fading of scars : several months to a year.


 

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

Preecha Aesthetic Institute
the Pioneer Sex Reassignment Surgery Thailand

Preecha Aesthetic Institute

Sigmoid Colon Dilator set by preecha aesthetic institute (four sizes) for Male to Female surgery.

Sigmoid Dilator by PAI

  • Range from 25 mm, 28 mm, 32 mm and 36 mm
  • Lengths from 15.3 cm (6 inches and up by 0.5 inch)
  • Special designed for women following GRS specially by Sigmoid Colon

After reassignment surgery sigmoid colon, the patient is required to be in hospital 6 days and conditions will check by your doctor daily and nurses, pain that is easily controlled by medication usually will subside in a few days.

Dressings have been applied. We will be replaced a few days. Sutures will be removed within a week of surgery. Although the surgeon has made every effort to keep scars as inconspicuous as possible. They are the inevitable result of surgery. Minimal swelling and discoloration will disappear rapidly.

Healing process may occur for weeks or even months following surgery.  Dilator set will be given an instruction during follow up visits in clinic (the patient is instructed to use dilator until follow visit by appointment in clinic). Special Sigmoid Colon dilator set can be purchase at 190 US Dollars. The decision on when to return to work and normal activities depends on how fast you heal and how you fee. 

To permit proper healing, you should avoid over activity and refrain from overhead lifting 3 months.


 

Post operation recovery primary sigmoid colon surgery for genital reconstruction surgery

After release 6 days from hospital you will recover with the aid of liaison at the hotel. While recovery in the hotel, you must follow instructions including:

  1. Dilating is the most important thing you can do to ensure the success of your surgery. If you do not dilate responsibly, this can result in the shortening of depth and width of the newly made vagina because of the scar contracture. The patient is instructed to use dilator by doctor until follow visit appointment at clinic.
  2. Failure to dilate properly can result in serious injury. You will be instructed to gently dilate into the right direction after the vaginal packing is removed.
  3. Dilation can be painful for the first weeks, but is essential for developing maximum
  4. Depth and ensuring post-operative function of the neovagina. 
  5. More instructions will be given after surgery.

During the recovery period and after each dilation session:

  • The wound should be washed gently with Hibiscrub (pink color) in the shower followed by douching while seated in the toilet:
  • Douche solution (proportion) = 5-10 ml (cc) of Beta dine solution mixed with 1L of water or until the container is full.
  • Insert the douche to full depth, squeeze, and hold tightly the container.
  • While holding tightly the container, extract the douche;
  • Keep the wound dry and apply Betadine solution with cotton balls; and apply Kemicitine ointment with a cotton applicator. If there is some bleeding, press or apply pressure with a dry cotton ball to the site for 15 minutes. During the first weeks after surgery, feminine knapkins (standard) should be changed several times per day due to normal vaginal bleeding during recovery.
  • After one month of SRS operation you will be required to start applying Premarin cream to your neo-vagina. Apply two times a day to soften your neo-vagina. This would generally take around six months.
  •  Female hormones estrogen can resume after a week surgery. You should consult your endocrinologist to re-adjust the dosage. A sudden change in hormone levels for some individuals may result in the fluctuation of emotion.
  • Post - operative checks by the doctor and nurses on a daily basis throughout your stay in hospital.
  • Post - operative check-ups by the doctor is by appointments at Preecha Aesthetic Institute or at least twice a week and more frequently if necessary.

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 23 days all together. Stitches will remove day 7 to day 10 after surgery date with remaining dissolve stitches.

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 Sigmoid Colon.


 

The pioneer Sex Reassignment Surgery and The first multidisciplinary plastic surgery center Thailand - Preecha Aesthetic Institute.

Preecha Aesthetic Institute (PAI) bangkok thailand cosmetic and reconstructive surgery center and best cosmetic surgery thailand all board of cosmetic and reconstrutive surgery

Treatment after surgery
during the first 7 days

After discharge from hospital, PAI's driver will assist you to check in hotel. Follow up by appointment within PAI's clinic. You must follow instructions including dilating. This is the most important thing to ensure the success surgery. Failure to dilate properly can result of the scar contracture. By follow up appointment, you will be instructed to gently dilate into the right direction after the vaginal packing is removed.

However, the first day using dilation may feel some pain for during first week but essential for developing maximum depth and ensuring post-operative function of the neovagina.

More instructions will be given after surgery by doctor.

  • Light or Discomfort - This may experience pain during the first few weeks.
  • 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.

male to female sex change sigmoid colon after fifteen days post op by preecha aesthetic institute

surgery info:

LOGO PAI
Primary Sigmoid Colon / Sigmoid Colon for Transgender Male to Female surgery

transposition used for patients who need more depth exceeding between 6.5 as far as 8 inches++

services icon 1 150x150 1
TIME REQUIRED

5 hours+

services icon 2 150x150Anesthesia
ANESTHESIA

General Anesthesia

BACK TO WORK

20 days

services icon 4 150x150 Strenous Activity
STRENUOUS ACTIVITY

3 months

FADING OF SCARS

Several months to a year

Swollen & Bruise

2 - 3 months +

Surgery Schedule

Schedule Appointment Consultation / Surgery / Question Sex Reassignment Surgery MtF Primary Sigmoid Colon.

Once you know your planning date for surgery.

Transportation services to be pick up from the airport (airport meeting point)


All transportation during recovery period in Bangkok will be accompanied by PAI. But must be within 2 KM from Preecha Aesthetic Institute.

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 read some of information. Can Colonvaginoplasty lead to a large number of unpleasant complications including colon fistula, and faecal incontinence?

A: It is possibly. Within our experiences 30 years, we have done 700++ cases for Colon (SRS). None of they’ve experienced with unpleasant. We have to make sure that they are safe to fly.

Q: What is requirement for SRS (Sigmoid Colon)?

A: In general, no previous abdominal surgery and Good health. Your Body Mass Index (BMI) must less than 24.99 or doctor decision, No HIV+.

Q: I would like to inquire about your methods of SRS Sigmoid Colon Surgery I presently am a male with desires to become female I would like to ask about the SRS mentioned in your site. Will I able to get 12 inches of Colon (MtF) to make a neo Vagina.

A: SRS by Sigmoid Colon technique is the best answer for you because much more longer depth of vagina canal, lubricate and able to get 12 inches of colon male to female surgery or depend maximum colon during surgical time.

Q: Can I do Facial Feminization Surgery together with SRS surgery?

A: Yes. Facial Feminization Surgery (FFS) can be performing together with SRS and Breast Augmentation at the same time.

Q: I have done voice surgery from other country. Is there any problem for SRS ?

A: Kindly double check with your voice surgeon that our 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.

Q: Good day Preecha Surgery. I would like to ask how much the total cost surgery for SRS Colon and ifs its alright to walk in your hospital or i have to schedule for an appointment?

A: If you are currently live in Thailand. Please call for an appointment at 027150111. But if live an oversea, please email to CONSULT@PAI.CO.TH for appointments.

Q: I don't want to do Skin Graft technique. Is it true from other source that Sigmoid Colon does not need to dilate ?

A: It is not true. SRS by Sigmoid Colon's still need to keep dilation at least twice a day and especially the first year of surgery.

Q: My partner genital size of penis is very long. Therefore, I want to choose SRS by Sigmoid Colon.

A: Even you are selected SRS by Sigmoid Colon, the doctor can’t be predict the length of depth vagina canal. This must also involve with colon dedundant. Normally, an average length of colon is around 6.5 inches. To be more extend the length of colon, this is depend on colon dedundant.

Q: By Sigmoid Colon, Sex Reassignment Surgery but would that be the best procedure available?

A: All techniques have pro & con. By Sigmoid Colon (Male to Female surgery) is more advance technique. There are many things need to aware such as colon leakage, vaginal fistula, Vault prolapes, colitis in neovagina. Sigmoid Colon technique for MtF surgery can reconstruct deepest vagina depth at least 6.5 inches.

Q: I've been told you're also able to handle hotel bookings for patients and anyone coming to care for them after the procedure. Is this true and if so, how much would this usually cost?

A: Yes. We can assistance all hotel reservation for our patients. In addition, we will look after care after procedures (day times) and patients can call us in clinic and transportation services are provide to PAI’s clinic. However, the patient must stay nearby PAI’s clinic. No charging fee.

Q: I don't have a surgical referral yet, but I've been told you're able to provide this before treatment. Is this still true?

A: If you can’t find a referral letter (HRT/psychiatrist) within town due from distance or nothing surround. PAI’s may refer direct consult by Thai’s psychiatrist (English), if approved. The surgery can be perform within 3 days. This is also a part from Thailand Medical Law and also followed by WPATH/AsiaPATH. PAI’s will accept two referral letters.

Q: Will I need to undergo any hair removal around the surgical site before surgery that I will need to go to someone else for?

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.

Q: MY PSYCHOLOGIST LETTER WAS ALSO not up to date. DO I NEED An UPDATE LETTER FOR GRS sigmoid colon?

A: No problem if refferral letter is not up to date yet. Please also bring original letter with you. 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 or translator up on request languages. So your psychologist letter is one of the best supportive document. Note: As Thailand Medical law, all patients who coming for SRS must also approved by Thailand Medical LAW as well as follow by WPATH, AsiaPATH.

Q: I have a letter confirming I am receiving HRT and additionally I should be able to get a letter from my doctor saying I have been put forward for Male to Female surgery (SRS) elsewhere. Would this be adequate?

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. PAI can 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.

Q: Referral letter (HRT) for my transition MtF surgery, Is the attached document from my German endocrinologist sufficient?

A: Yes. We are accepted. But please also written in English. However, you still need to be finalize by Thai's psychiatrists here again. Your hometown referral letters are best support documents for transition surgery.

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