As far as where to get the procedure in Asian countries, I recall that the procedure was pioneered in Thailand. It's been awhile since I talked to Dr. Thomas about it, but I think he said that he went to Thailand and observed a procedure before attempting it himself. I also think I recall reading that some Thai GRS surgeons do it, so you can get the voice and GRS done at the same time. I don't know if they do the laser tuning, though. I think that is a Dr. Thomas original, becasue he said that he got the laser for other applications, and that he found it useful for the tuning.