So I think I'm realistically looking at these two surgeons if I go to Thailand. Clearly they have quite different methods and results. I plan breast augmentation at the same time.
My priorities are sensitivity (I have posted before that I have a desensitised glans but have significant sensitivity and orgasmic capability elsewhere - specifically along the urethra, close to the base of the shaft where the tissue is spongy and acts similarly to a g-spot and this has been the focal point both pre and post hrt), ideally in the labia and internally as well as the clitoris; and aesthetics (I'm aware later revision labiaplasty is an option but I'd like things to heal as well as they can from the vaginoplasty). I'm aware there are threads elsewhere on these two surgeons but not necessarily active ones. I'd be happy to hear from any former patients. I've not seen much in the way of results from either (especially recent ones). Essentially here is my thinking:
Sanguan:
PROS - 2/3 stage procedure should reduce swelling and the gap between the initial op and the attachment of the skin graft should allow for any necessary tweaks to be made. 14 days in a hospital may be boring but it's also very safe and I'm planning to be recovering from having my boobs done too and it is a top hospital rather than a clinic. Shorter healing time. Recovery location (Phuket sounds a lot more restful than Bangkok for recovering from major surgery. Breast augmentation pics look far better than almost any other GRS surgeon - choice of round or teardrop, choice of placement, choice of incision location, high quality silicone implants). Less aggressive dilation regime.
CONS: less former patients easily contactable; concerns about possible loss of sensitivity in the skin graft whilst it is stored in a tissue bank (I don't know how much of an issue this is); slightly longer waiting list. Less depth?
Chettawut:
PROS: Easier to find former patients. Method suggests greater sensitivity should be achieved as should depth. Shorter waiting list. Anatomically possibly closer to natural genitalia. If it goes well, results can be incredible. Free revisions are available.
CONS: More dissatisfied patients at least publically. Less convincing breast augmentation (from the limited pics I've seen - the ones on his website are also pretty old). Location less appealing. More aggressive dilation required. Higher risk of complications, scar tissue, closure. Longer recovery time. Some reports of hair internally post op.
Please add anything you can, positive or negative. I am also considering Dr McGinn but the overall costs would be far higher and I'm far less convinced of her breast augmentation than her GRS (which looks excellent); her wait list is slightly longer but not much longer. I'm in the UK so her location in America, while closer than Thailand, is far from a deal-breaker.
Zelda