I also thought about SRS with Dr. Sanguan in Phuket Thailand.
Apparently he has worked with Dr. Suporn for quite some time and uses a quite similar approach to SRS. He also uses a full graft technique - butr in a different way.
He performs SRS in two stages while your one visit to Phuket. During the first stage he prepares the vaginal tunnel, removes the penis (Penectomy) and the testes (Orchidectomy), constructs the clitoris, clitoral hood, the labia minora (Labiaplasty) and construction the new urethral opening (Urethroplasty). He then attaches a special vacuum assisted device so as to enhance granulation tissue growth, promoting healing, and preventing swelling. He believes that his method is the best one to maximize graft attachment and graft survival.
You can read it all on his website in more detail:
http://phuket-plasticsurgery.com/P-PS-grs-procedure.htmlI have been informed that Dr. Sanguan doesn't use epidural block anesthesia any more - or only on request of the patient. Actually the epidural anesthesia still prresent on the website text is something they don't do anymore.
Funny enough this was the reason why I didn't choose Dr. Sanguan for my SRS plans any further.
Also the website still says that he uses penile inversion and labiaplasty - which is simply incorrect. Apparently he informed his web host to implement the changes of content on the website.
Should you be interested just email him and he will explain the current procedure in detail.
After SRS response is also very fast - so communication with Dr. Sanguan is very, very good.
Anyway - he is a really, really great alternative to Dr. Chettawut and Dr. Suporn - his SRS prizing ranges in between the other two surgeons and his results seem very, very good and natural to me.
Overall I do like his procedure A LOT NOW hat epidural anesthesia is not standard procedure anymore.
You will find loads of very, very favorable experiences from the "Sanguanistas" in different Yahoo groups - or maybe even here?!?