Revisions away from your surgeon

[TechGirl]

I've started reading up on the different techniques out there and also started researching surgeons for gcs.  During this research, I've tried to locate good doctors "relatively" close to where I live.

However, I've noticed some mtf discussing having revisions done or having granulation taken care of.  These always seem to occur well after the patient has departed the doctors home area.

So who do you go to for the revision or granulation issues?  I can't imagine someone flying back to Thailand, or to west coast from east coast USA to take care of these issues.

Thoughts?

p.s. as always, apologies if this has already been discussed

[Lady_Oracle]

Seeing a gyno once post op for these issues like granulation and other minor things is what you're supposed to do. When I was creating my post op plan I had my docs recommend me a gyno for after surgery to take care of any minor complications that might arise.

Revisions is a whole other topic though and are usually offered by the original surgeon at a reduced cost and free in some cases, just depends on who your surgeon is.

And yeah this topic has been discussed at length but on this forum it's totally cool to make threads asking questions and things that have been asked a gazzilion times. No one is gonna give you a hard time over it, so feel free to ask away.

[AnonyMs]

So who do you go to for the revision or granulation issues?  I can't imagine someone flying back to Thailand, or to west coast from east coast USA to take care of these issues.

A significant number of Suporn patients go back to Thailand for "free" revisions and its why some choose him (I'd do it). Its free in the sense of he'll take care of medical expenses while you're there, including hospital if necessary, but you pay all travel and hotel expenses.

I've also heard that some surgeons are reluctant to undertake revisions at all, which would be a problem if you wanted one.

From what I've read granulation is normally easy to take care of with a local doctor.

[TechGirl]

Thank you all, helps me I  think I g how to plan all this.

GCS is quite complicated, what with getting spouse buy in, navigating insurance & financing, time off work,  etc... And I also have to figure in military has no experience with this yet (at least officially supporting and covering the surgeries).

[Jenna Marie]

Granulation is actually a part of wound healing; the problem comes when sometimes it doesn't progress naturally to the next step in the process and instead the granulation keeps overgrowing. So, basically, this is something that any doctor who has dealt with injuries will be prepared for - it's not unique to GRS. My GP said he'd be well-equipped to take care of it for me if need be (in the end I didn't need it, but he did provide me with useful advice regarding scar tissue on the basis of his experience with plenty of patients who'd had various [non-trans] surgeries). The doctor in question would need to have a speculum and be comfortable dealing with post-op women, but that's about it.

Actual revisions, though, would probably require a GRS surgeon...