Candidate for Sex Change Male to Female:
There are 2 requirements that a candidate for male to female gender reassignment and breast surgery need to meet as follow:
- 12 months of continuous hormonal therapy for those without a medical contraindication.
- 12 months of successful continuous full time real-life experience. Periods of returning to the original gender may indicate ambivalence about proceeding and should not be used to fulfill this criterion.
- Regular sessions may be required by the mental health professional throughout the real life experience at a minimum frequency determined by the mental health professional with psychotherapy.
It would be great if you have knowledge about likely complications, and post surgical rehabilitation requirements of various surgical approaches as well as the awareness of different component surgeons.
Sex Change Male to Female should not be taken for granted since it entails making irreversible changes to the body. A written document is necessary to prove that a comprehensive evaluation has been made and that the patient has met both the eligibility and readiness criteria for surgery. The mental health professional, the surgeon, and the patient are involved in decision making.
Recommend length of stay in Thailand for Male to Female Gender Reassignment surgery:
Male to Female Gender Reassignment surgery will require you to stay in Thailand at least for 14 days for the male to female gender reassignment itself, which involves two operations on the external genitalia:
- Removal of the penis
- And the creation of a new vagina canal.
If you are interested in additional procedures you may have them done during your hospitalization or you may have to be hospitalized longer then that will be upon the surgeon’s decision and advice.
NOTE** Please note that the need for additional procedures is unique to every patient. It depends on the individual’s appearance and desires and should be decided in consultation with the surgeon.
However, you can of course stay in Thailand longer than the period recommended so you can combine your surgery with your vacation while recovering. You are also offered a great package deal to visit beautiful beach in Hua-Hin, which is located in the gulf of Thailand, if you are interested please complete inquiry form and we will send you the brochures for more information.
Before for Sex Change Male to Female surgery:
After you have passed a psychological evaluation, below are some preparation tips for you to follow prior to your surgical procedure:
- You should refrain from smoking 2 weeks before and after the surgery.
- You should refrain from drinking 2 weeks before and after the surgery, too.
- You should refrain from taking any medications, such aspirin, homeopathic or herbal preparation medicines or any other forms of medicines or even vitamins for 2 weeks before and after the surgery.
- Stop taking hormones at least 2 weeks before the surgery.
- Have a physical examination by a doctor. Provide us with the physical examination as well as your medical records from your General Practitioner.
- Eat only soft diet at least 2-3 days before the surgery to decrease the fiber in the intestine and to lessen excretion.
** Note: If you are taking some medication regarding your health problem, please kindly inform us the name of your medication and amount per day so we can consult with our pharmacist whether it would be unsafe for you to stop taking medication.
Moreover, during the pre-surgery consultation, the surgeon will guide you through every step of the procedure. Here you can also discuss any additional procedures you may be interested in.
Male to Female Gender Reassignment Surgery Process:
The surgery takes approximately 4-8 hours.
- The procedure begins with the surgeon creating the vaginal cavity between rectum and the urethra by cutting some of the pelvic floor muscles to insert the neo-vagina.
- The surgeon then makes an incision to open the penis. The urethra is shortened and re-routed to emerge lower, just above the new vaginal opening.
- After the vaginal cavity is created, the surgeon cuts the scrotal skin to removes the testicles.
- The scrotal skin including the surrounding tissue is then used to construct the external genitalia such as labia minora and labia majora to create a neo-vagina similar to the biological female genitalia.
- The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches.
- The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.
After Sex Change Male to Female Surgery:
After the surgery, the patient will be under the surgeon’s close supervision and he will inform you of everything you need to know. The following post-operative care guidelines should be observed:
- The first 2-3 days the patient will be on a clear liquid diet and must avoid fibers and milky beverages that can induce defecation to avoid infection.
- At bedtime, use the wrap to lie between legs while sleeping to prevent the wound being pressed.
- Use a vaginal douche or sterile solution to clean the wound to prevent infection.
- The patient will be able to walk after 5-7 days
- Use a small size dilator and gradually increase in width and size, as you feel fit. You should dilate the neo-vagina 3-4 times a day. Dilation is needed everyday for 2-3 months then once a day after one year.
- 2 weeks after surgery return for a follow-up check and removal of stitches.
- You should not engage in sexual intercourse until at least 2 months after the surgery.
Q&A:
- Can the hormone be taken without a prescription?
Please be advises that it is not advisable to take this on his own since you should be monitored for side effects while taking it. You should see an obstetrician-gynecologist to ask for a prescription. Side effects can be bad if there is over dosage.
- After the male to female gender reassignment surgery, will there be a sexual arousing from the new vagina?
Sexual arousal is not only a physical sensation but it is also very much a psychological experience. It means that in order to have a fulfilling sexual experience, you have to be ready in both aspects. During removal of the penis and testicles, the skin, together with its nerve supply, are retained and used to line the new vagina. Also, a new clitoris will be formed from part of your glans penis (head of the penis) also with its nerve supply intact. Therefore, with this in mind, sexual sensation is still guaranteed.
- Can the orgasm be guarantee after the surgery?
Orgasm is very much a psychological experience as it is a physical experience and you are right that to experience it after sex change male to female surgery varies from person to person as it does even in people who have not had sex change male to female surgery. However, the nerves are kept intact during surgery and part of the glans penis is made into the new clitoris so therefore, a sexual feeling can be present. But even with that, no doctor can give anyone a 100% guarantee on this matter as the body's own response to surgery is also a very big consideration and can never be predicted.
- Can the sex change male to female surgery be done after Orchidectomy surgery?
There is a possibility that your scrotum has already shrink due to the previous removal of the testicles, therefore a colonic vaginoplasty will be the likely procedure to be done.
- How is voice change operated?
The doctor uses the Thyro-Vocal Reduction Technique for Voice Change Surgery. This is a procedure in which the vocal cords are shortened and tightened, thus resulting in a raised voice pitch. The surgery will be made through a horizontal incision made in the mid-portion of the neck. It is made along the natural skin creases so that scarring is very minimal afterwards. The patient will have to stay 3 days in the hospital.
Cosmetic Plastic Surgery & Sex Change Surgery - Sex Reassignment Surgery (SRS) Bangkok Thailand
Call + 66 26775662