By Crystal Catamco
from the September 2000 issue.
Since 1975, Bangkok Gender Reassignment Surgery (GRS) Center
at Bumrungrad Hospital in Bangkok, Thailand, has been a well-regarded
center for gender reassignment procedures, with patients coming
from all over the world. Hundreds of successful procedures
have been performed by their internationally experienced surgical
Over its many years of service, the Bangkok GRS Center is
proud of its mission "to provide world class GRS medical
care with caring compassion." The staff knows the special
needs of GRS patients and strives to create a comforting environment.
The Bangkok GRS Center offers extremely competitive all-inclusive
GRS packages, including special services from their many international
Dr. Preecha Tiewtranon is one of the doctors at Bangkok GRS
Center. He has performed over 600 gender reassignment surgeries
in his extensive career spanning some twenty years. When performing
vaginoplasty for male to female gender reassignment, Dr. Preecha
uses the "Penile Skin Inversion" technique. The
testicles are removed; the skin of the testicles is used to
form the labia majora and minora; the root of the penis together
with a portion of the urethra are reformed to create the clitoris;
and the urethra is shortened. The penile skin is inverted
to line the space created between the urethra, prostate gland
and rectum. The outcome is remarkably similar to the female
If the penis is very short, a second operation may be necessary
where a segment of the sigmoid colon is connected to the previously
reconstructed vagina. This revision will result in more than
6 inches of depth with a mucous lubricated vagina.
Breast augmentation is often a desired "co-procedure"
with vaginopalsty and can be performed at the same time. Dr.
Preecha will consult with the patient to determine the best
type of implant to meet the needs, body type and desires of
the patient. When performed at the same time as vaginoplasty,
an additional hour is required for the total surgery.
Chondolaryngoplasty, or Adam's Apple Shaving, is an adjunctive
procedure to remove the lump in the anterior portion of the
neck which is a physical trait associated with the male gender.
This relatively simple procedure will leave a small horizontal
scar on the throat and can be performed at the same time as
the vaginoplasty requiring an additional 45 minutes of total
The decision to proceed with gender reassignment is an important
and irreversible life decision that must be made with care.
Patients considering Gender Reassignment Surgery must meet
certain eligibility criteria before being admitted into the
Bangkok Center Programs.
First of all, letters from the following practitioners recommending
that the patient is a suitable candidate for gender reassignment
are required: two behavioral scientists (psychiatrist, psychologist,
or therapist), with at least one of these holding an advanced
degree equivalent to a PhD or MD; along with a letter from
an endocrinologist. Please note that Dr. Preecha may contact
the patient's therapists or doctor to discuss the case with
In addition, the patient must have discontinued hormone therapy
for at least 10 days before the surgery; the patient must
be at least 18 years of age at the time of surgery; and the
patient must sign a full consent to the surgery.
- Vaginoplasty (Male to Female GRS) US $5,000
- Breast Augmentation Only (excluding implants) US $1,500
- Vaginoplasty with Breast Augmentation
- (excluding implants) US $6,100
- Vaginoplasty with Adam's Apple Shaving US $5,500
- Vaginoplasty with Breast Augmentation and Adam's Apple
Shaving (excluding implants) US $6,600
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