Let's pretend to seriously consider this and that it is a registered doctor .
First, the procedure is not rocket science anymore, of course the top doctors will imply that it is. You can read Suporn and Chett stressing their evolved and unique changes to the basic proceduren.Thailand's surgeons have developed a gadget for scraping the scrotal skin of hair and constructing the neo vagina. This and a great stitching ability takes the most time.
Second you don't need to have a GA, there are other options, including spinal blocks. Pain management is not expensive in these places.
Third, the after care is also cheap, the salary of qualified nurses are less than usd 500 pm. My father has 3 nurses from the Phillipines at a premium of usd 700 per month.
The salaries in these countries are exceptionally low. For those in the USA your medical prices are absurd. I understand that hospitals there give 50 pct discounts if you don't have insurance claims. USD 2,000 is a lot to earn in 2 hours with little inventory cost.
Fourth, no hospital. What a savings.
Do the math .... not quite so absurd but not one I would ever consider but fun to present an alternative view.