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Sex Reassignment (MTF)

A person who is transsexual embraces a gender identity that is contrary to their biological sex, which is the sex of the body they were born with. Simply stated, Sex is what you see; gender is what you feel. A transsexual person will perceive themselves as female (though they may have a genetically male body, which is their sex) and exhibit all the traits and expressions of a female. This is because their gender identity is female. A transsexual’s physical body reveals the sex they were born with, but their gender identity reveals the diverse elements of the mental-emotional state of being that they align with, whether male or female. A transsexual person often may feel like they are a male trapped in a female’s body (Male to Female, or MtF). This is a key factor underlying gender dysphoria or the condition of distress caused by the awareness that one’s gender identity, who they perceive themselves to be as a person, does not match their physical sex.

The surgical procedures by which a person’s physical appearance and the function of their existing sexual characteristics, which are altered to resemble that of the opposite sex, was initially referred to as Sex Reassignment Surgery (SRS). Presently, these procedures are variously referred to, and

include: Genital Reconstruction Surgery (GRS), Sex Affirmation Surgery (SAS), Sex Realignment Surgery (SRS); Gender Change, Gender Reassignment; Gender Reassignment Surgery (GRS), Gender Confirmation Surgery (GCS), Gender Surgery; or generally speaking, sex-change operation. At Preecha Aesthetic Institute (PAI), PAI surgeons performing Sex Reassignment Surgery (SRS) adhere to the World Professional Association of Transgender Health (WPATH) standards of care, as well as the Thailand Medical Law relating to Gender Dysphoria (formerly known as Gender Identity Disorder). It is this dysphoria or distress which is a key factor in a patient seeking to undergo sex reassignment, in which the genitals are surgically reconfigured to provide the appearance and function of the opposite sex which the patient identifies with.

The transsexual patient will often undergo other procedures and surgeries to further enhance their
overall appearance and create a more convincing persona, which can increase their personal confidence and wellbeing. Some of these procedures include Facial Feminization Surgery, Body
Contouring Surgery.

Preecha Aesthetic Institute (PAI) provides many services to benefit and support the transsexual as well as the non-transgender/cross dresser persons of all ages and walks of life. As a pioneer center for sex reassignment surgery in Thailand, PAI is committed to serving the needs of patients seeking to undergo this surgery as the final, ultimate expression of their gender identity. To date, PAI surgeons have performed over 6,800 successful SRS surgeries using the Penile Skin Inversion Vaginoplasty, Penile Skin Inversion with Scrotal Skin Graft Vaginoplasty, and Sigmoid Colon Graft Vaginoplasty.

As a highwater mark in his storied career and the development of his surgical techniques and methodologies, Preecha Aesthetic Institute founder, Dr.Preecha Tiewtranon, MD, performed the
first male to female sex reassignment surgery in 1975 in Thailand. Early on in his career, Dr. Preecha began to document his philosophies and experiences in the development of SRS/GRS in the
context of the transsexual, transgender person. What were the prevailing social and societal attitudes, religious mores, and epidemiology regarding this population; WPATH standards of health and regulation applied to the transsexual patient undergoing SRS/GCS; and laying out a practical
pathway the transsexual patient would follow, from psychiatric assessment and evaluation to the actual sex reassignment surgery experience. Between 1983 and 2002, Associate Professor, Dr.
Preecha Tiewtranon, provided surgical training for nearly all the surgeons at Chulalongkorn Medical University Hospital. During this time period, Dr. Preecha developed and implemented numerous
surgical innovations and refinements, and he himself performed surgery on more than 3,000 patients.

Presently, Preecha Aesthetic Institute (PAI) surgeons who perform vaginoplasty surgery may also perform Clitoro-labioplasty, which is the cosmetic and functional refinement of the newly created genitals, when determined necessary. These refinements include , Penile Skin Inversion, Penile Skin Graft, and Sigmoid Colon Graft to neovagina, along surgeries.

The quest to improve surgical and post-operative care techniques continues unabated at Preecha Aesthetic Institute (PAI). For the past 40 years, Associate Professor, Dr. Preecha Tiewtranon MD, Dr. Burin Wangjiraniran MD, FRCS, Dr.Sutin Khobunsongserm MD, have all contributed to the development of the surgical techniques, innovations and refinements for Male to Female (MtF) vaginoplasty surgeries. Major goals include improving techniques that result in increasing the
neovaginal length and width, as well as improved surgical techniques and desired results, all the
while preventing complications and improving function and appearance.

Male to Female Surgery

Male to Female Surgery