Quote from: jentay1367 on April 10, 2017, 08:44:05 AM
Unfortunately, in the case of GCS, it does look as though size matters. The less material they have to work with and generally speaking, the longer you have spent on HRT, is going to make a difference on aesthetics and function(the latter point meaning more time being detrimental). At least based on everything I've gleaned over the years that appears to be the case. And this all seems to be regardless of Surgeon 
It seems obvious that anatomy is important, and may be the most important factor in affecting the outcome which is why surgeons who do the penile inversion method like patients who are uncircumcised. I believe that the choice of a surgeon becomes especially important when the amount of genital tissue is lacking. To achieve a good result in girls with under developed genitals is much more challenging. This is, I believe, why Dr. Suporn is considered one of the best, and his meshing technique is one of the ways he deals with such patients. His reputation for using ALL available tissue is another indication for his being an especially good choice for young trans women who avoided male puberty. Suporn's fees are much higher than other Thai surgeons because of this special expertise.
If a patient has ample genital material for the surgeon to work with, the choice of a surgeon is not as important. The choice then comes down to affordability, method, timing, and location. I considered going to Dr. McGinn and Dr. Bowers for my GRS. They are both tops in their field, and I liked the idea of them being trans women themselves. Their fees, however, were quite high and their waiting lists quite long.
When my research uncovered the work of Thai surgeons like Dr. Suporn and Dr. Chettawut, I was intrigued. The non-penile inversion method appeared to be an improvement over the inversion method. I contacted both Suporn and Chettawut with inquiries about fees and timing. I got a recommendation from a friend who went to Dr. Chettawut, so when Ms. Som wrote back that Dr. Chett had an opening in just two months and that the fee was half what Dr. Suporn wanted, my decision was made. Even with the cost of business class travel for two to Thailand and a stay of 30 days, the cost was several thousand dollars less than if I had waited for Drs. McGinn or Bowers.
I was lucky, however, if I had experienced complications after returning home, followup treatment would have been difficult depending on the problem. Fortunately, by the time one is released to go home, the chances of an unforeseen complication are very low.
