Susan's Place Transgender Resources

I was wondering how much it costs to have SRS done by Dr Suporn.

Anyone please? :)

Thanks ^^

Hi myself!

I think Dr Suporn was going to reevaluate his pricing some time soon if i remember correctly. The best way would be to contact his assistant Sophie through the clinics website and she can give you more information. The staff there are very helpful and willing to answer any questions you might have.

I just had surgery with Dr Suporn on tuesday and would definitely recommend him.  :)

495 000 Baht. Previous patients get 10% discount

I think that is 14,800. usd  Iam wondering if he  is better than  Dr. Meltzer as his price is around 28k to complete his two stage.  I was considering Suporn but  Sophie said they wanted 8 months of documented RLT, but all i have is the letter from my therapist and the evaluation letter.  She emailed me that they want like a recent bill with your female name or like a SSN# statement etc.  I have a yr, but i just started name change a few months  ago and it can take up to three months to  get my petition,, so  i  would have to wait 8 months aft that?  I asked why and she gave me the song and about WPATH etc. i  was kinda put off by that.

There is another thread here that indicates Dr. Greechart charges around $6500.00.

That seems a wide disparity in price.

Yes, it does, but apparently one of the girls here just had surgery there.  Her thread goes through the details...
https://www.susans.org/forums/index.php/topic,56833.0.html (https://www.susans.org/forums/index.php/topic,56833.0.html)

His name does show up in a thread from about two years ago also.  I linked to it in a response to the above thread and included a link to the hospital SRS page.

Thanks for the replies :)

I don't care what the results of so and so are but it is a fact that for a thai surgeon, Dr. Suporn overcharges for his procedures because he takes advantage of ts women; he is a smart guy, he knows we will go to extreme lengths to achieve perfection so he completes the whole sales picture by having a few of his good results on his website. He never used to be this popular 5 years ago when I was going for my surgery, he was just an independent surgeon who did his work quietly. After those FFS and SRS pictures on his website, ts women from around the world have been flocking to his clinic. If he is consistent with his results, good on him but people travel to Thailand to seek good quality surgery for less, he is charging more than his counterparts. Lately, other Thai surgeons are trying to catch up with the trend of offering a lot of graphic images and doing more advertising on their website so they can charge mark-up prices. It is very unethical considering so many people are putting their lives onto hands of these surgeons. Thailand never used to be this expensive, lately the prices for any surgery over there are so close to western countries, one is better off having her surgeries done locally, it saves the travelling and at least you know you will be protected by law in your own country and you can go back to your surgeon for further follow up or treatment.

Dr Meltzer imo is the best GRS  plastic surgeon in the US.  He has done many revisions on ppl that have gone to  Thailand with either unsatisfactory results, or just plan botched up problems. 

Last time I checked it was more than USD 10.000... So, everything factored in (pre-consultations, plane, etc) you should expect to have to pay around 15.000 USD... Think 20.000 to be safe.

That's what I am thinking, as I plan to have SRS by Dr. Suporn (or maybe Kamoll, but I prefer vulva reconstruction by Suporn) 1 to 2 years after my FFS. All my resources are dedicated to my transition, only the outcome is important, whatever the price.

Quote from: jade on August 29, 2009, 04:37:29 AM
I don't care what the results of so and so are but it is a fact that for a thai surgeon, Dr. Suporn overcharges for his procedures because he takes advantage of ts women; he is a smart guy, he knows we will go to extreme lengths to achieve perfection so he completes the whole sales picture by having a few of his good results on his website. He never used to be this popular 5 years ago when I was going for my surgery, he was just an independent surgeon who did his work quietly. After those FFS and SRS pictures on his website, ts women from around the world have been flocking to his clinic. If he is consistent with his results, good on him but people travel to Thailand to seek good quality surgery for less, he is charging more than his counterparts. Lately, other Thai surgeons are trying to catch up with the trend of offering a lot of graphic images and doing more advertising on their website so they can charge mark-up prices. It is very unethical considering so many people are putting their lives onto hands of these surgeons. Thailand never used to be this expensive, lately the prices for any surgery over there are so close to western countries, one is better off having her surgeries done locally, it saves the travelling and at least you know you will be protected by law in your own country and you can go back to your surgeon for further follow up or treatment.

That's just call running a business. Advertising, and charging what people are willing to pay. If you think there's better deal elsewhere, then great, go there and/or recommend people to go there.

Are pictures from his site actual patients of his? Are the statistics given accurate and non-misleading? If so, then what's the problem?

Unfortunately I am only starting my "journey" and I don't yet know what effects HRT will have. But I do know that I am in my forflowerties.

Sorry that last sentence is meant to read "in my forties".

Quote from: roxie rudi on December 20, 2015, 01:29:46 AM
Unfortunately I am only starting my "journey" and I don't yet know what effects HRT will have.

Physically, HRT gives the patient secondary sex characteristics;  soft skin, hair diminishing, b00bies and hips, etc etc.

As far as this thread, the prices may have changed since 2009, if your post is indicative of interest in Suporn SRS.

Take a close look at Dr. Chettawut.  He was my surgeon just last month.  He's does the skin graft method with good depth, aesthetics, and sensation.  I paid about $10,000US.  You have to stay there for 24 days post-op, but hotel rates are a bargain.  Depending on your air travel costs, you can get by for well under $20K.   Revisions are free, too.

Recently (within the last 2 weeks) made the last wire transfer to Suporn. The current price is 550,000 baht. The amount you pay will vary according to whatever the exchange rate is at the time.

Quote from: Sunhawk on December 20, 2015, 12:50:58 PM
Recently (within the last 2 weeks) made the last wire transfer to Suporn. The current price is 550,000 baht. The amount you pay will vary according to whatever the exchange rate is at the time.

Wow!  That 50% higher than Chettawut for basically the same surgery.   

Quote from: Clara Kay on December 20, 2015, 02:00:31 PM
Wow!  That 50% higher than Chettawut for basically the same surgery.   

It's not really the same surgery... 

QuoteIt's not really the same surgery...

That's probably what his patients think when they choose him.
And he performs all surgeries himself, while Dr. Chettawut does not.

Quote from: Girl Beyond Doubt on December 20, 2015, 02:33:31 PM
That's probably what his patients think when they choose him.

Many probably do. But truth is they use different techniques, with each having its pros and cons.

Some aspects of both techniques might be similar.. but many are very different. Therefore it cant be said you are getting same surgery for 50% discount. You are getting a different surgical technique for different price.   

Quote from: Clara Kay on December 20, 2015, 02:00:31 PM
Wow!  That 50% higher than Chettawut for basically the same surgery.

You could have a look here and the links there:
https://www.susans.org/forums/index.php/topic,185600.msg1762841.html#msg1762841

Revisions are free lifelong with Suporn, he charges upfront.


hugs

Thankyou all so very much! You have been sooo encouraging because I am an Aussie and the airfares etc. aren't such a problem from the antipodes. Thanks, thanks and thanks girls!

Quote from: Lagertha on December 20, 2015, 02:32:16 PM
It's not really the same surgery...

Please explain the difference if you would.  As I understand it, both use scrotal skin tissue grafts, scraped of hair follicles to fashion the vagina (non-penile inversion method)  The tissues of the penis are used to create the clitoris, clitoral hood, labia minora, etc. 

Quote from: Girl Beyond Doubt on December 20, 2015, 02:33:31 PM
That's probably what his patients think when they choose him.
And he performs all surgeries himself, while Dr. Chettawut does not.

My goodness, where did you hear that?  I will attest to the fact that Dr. Chettawut does ALL of his GRS, BA, and FFS surgeries. 

Quote from: Clara Kay on December 21, 2015, 10:52:15 AM
Please explain the difference if you would.  As I understand it, both use scrotal skin tissue grafts, scraped of hair follicles to fashion the vagina (non-penile inversion method)  The tissues of the penis are used to create the clitoris, clitoral hood, labia minora, etc.

Supon uses a special technique to mesh the tissue and stretch it so a great depth might be achieved. Note its not guaranteed.

This is from another posting:
https://www.susans.org/forums/index.php/topic,96561.msg706793.html#msg706793

Quote
Re: what is the downside of Dr. Suporn's technique
« Reply #13 on: April 09, 2011, 10:14:29 pm »
As I perceive it - as an almost outsider to this community, because I was done so long ago that I hardly count now ;)

The plus side of suporn is that when it goes well it looks good and gives maximum depth.

The down side is that the recovery is a fair bit longer, there are about ten times more stitches involved, and when it goes wrong boy oh boy does it go wrong!

In essence it's like a high performance car. Fantastic when it works, but where as other surgeons go for reliability, suporn has gone for the absolute maximum possible performance, which means that you must be prepared for more discomfort in the healing phase and to be really careful to follow his postoperative care instructions to the letter.

I hope that is a fair and balanced summary.

Quote from: Laura_7 on December 21, 2015, 11:50:38 AM
Supon uses a special technique to mesh the tissue and stretch it so a great depth might be achieved. Note its not guaranteed.

This is from another posting:
https://www.susans.org/forums/index.php/topic,96561.msg706793.html#msg706793

The maximum depth that can be achieved is limited my the patient's anatomy.  The vaginal space in created between the rectum and the bladder/prostate extending only as far as the peritoneal reflex.  Both Drs. Suporn and Chettawut use groin skin grafts to achieve the desired vaginal depth if scrotal skin is insufficient.  There is no substantial difference in their techniques. 

Quote from: Clara Kay on December 21, 2015, 12:04:33 PM
The maximum depth that can be achieved is limited my the patient's anatomy.  The vaginal space in created between the rectum and the bladder/prostate extending only as far as the peritoneal reflex.  Both Drs. Suporn and Chettawut use groin skin grafts to achieve the desired vaginal depth if scrotal skin is insufficient.  There is no substantial difference in their techniques.

Suporn uses a machine to mesh the tissue so it becomes more stretchable. There are videos of this.
This is also a reason why the healing process takes longer.

Some patients of suporn report results in excess of 7 in which seem to be rare with other docs.


hugs

Quote from: Clara Kay on December 21, 2015, 10:52:15 AM
Please explain the difference if you would.  As I understand it, both use scrotal skin tissue grafts, scraped of hair follicles to fashion the vagina (non-penile inversion method)  The tissues of the penis are used to create the clitoris, clitoral hood, labia minora, etc.

Like Laura already said, Suporn uses meshed scrotal skin graft... Its not really special technique, it is commonly used to treat patients with severe burn injuries where it is used as full-thickness skin graft transplant. Skin graft is meshed and perforated with a special device, which increases the surface by quite a bit, and perforated skin allows for better adhesion with the underlying tissue, and better chance for survival of graft. This also comes (in SRS use) with quite harder and longer recovery (expected tissue contraction from 3nd to 6th month) which requires a special dilation technique (called dynamic dilation).

Meshed scrotal skin graft is far more likely to turn into mucosal tissue (after a year or two), which gives more than adequate self lubrication (from vaginal wall) and around 80% of patients report no need of using any additional lubrication during sexual activities or dilation.   

Chettawut removes as most of corpora cavernosa as he can. Suporn keeps ALL corpora cavernosa (only testicles get discarded) and incorporates erectile tissue exactly as it is in biological females.. Chettawut and most other surgeons in the world avoid doing this because it is supposedly extremly hard to do it right, and its therefore far less riskier to just remove and discard complete corpora cavernosa.

Neo-clitoris.... Edit: apparently I was wrong and Chettawut also creates similar secondary sensate organ.

Chonburi flap (skin flaps for formation of inner-outer labia minora, hooding and labia majora) is more than a little different in some details to flap that Chettawut uses, which can be observed in different incision-scar placements. Due to preservation of corpora cavernosa labia minora keeps most of nerve connection and is reportedly far more sensate in comparison to labia minora with techniques which discard corpora cavernosa.

Suporn uses groin skin graft very rarely (patients with 10 or 20  or more years of HRT or previously done orchiectomy), while Chettawut reports using groin or abdominal graft far more often.. Not all patients have enough scrotal skin material available to achieve 5-6 inch depth with normal full-thickness graft, where Suporn guarantees minumum 6 inch depth for uncircumsized patients without previous orchiectomy and not more than few years of HRT. 17.8 cm is average final depth (no additional grafts needed in patients who fit uncircumsized-no orchie-no more than few years HRT criteria).

Thank you for that explanation.

A few clarifications, however, from his website:

Doctor Chettawut no longer uses the abdominal skin graft to avoid any additional scar on the tummy.

All spongiosum (spongy) muscles around urethra are completely removed to prevent tissue engorgement during sexual arousal which can narrow the vaginal opening or cause difficulty during sexual intercourse.

The neo-clitoris made from the dorsal part of glans penis is considered the primary sensate organ innervated by branches of pudendal nerve.  The part of vulva vestibule made from the ventral part of glans penis is considered the secondary sensate organ innervated by branches of pudendal nerve.  Not only pudendal nerve, Dr. Chettawut can preserve 3 more specific nerves which innervate the created sensate genital structures as follows:

- Clitoral hood and clitoral frenulum
- Inner labia and its frenulum (posterior fourchette)
- Vaginal wall adjacent to the intact prostate (G-spot area compared to biological female anatomy)

The sex reassignment surgery lasts around 6 hours to complete all delicate processes and Dr. Chettawut is the only surgeon who performs the surgery from the start to the end.

From Dr, Suporn's website:

Full-thickness scrotal and groin skin grafts construct the neovaginal wall without penile skin inversion.

I couldn't find any mention of the scrotal mesh technique that you claim Dr. Suporn uses.  Also, there's no mention of using spongiosum tissue in the construction of the vulva/vagina.

Do you have a reference that backs up these claims?

Quote from: Clara Kay on December 21, 2015, 07:12:25 PM

I couldn't find any mention of the scrotal mesh technique that you claim Dr. Suporn uses.  Also, there's no mention of using spongiosum tissue in the construction of the vulva/vagina.

Do you have a reference that backs up these claims?

I have seen a video of an srs, performed by him.
There was a machine meshing the tissue.
Afterwards it was sewn and spread over a large transparent tube before being inserted.

The technique used by him is quite unique. there are even surgeons who complain there are no written explanations. :)


hugs

I was not aware Dr Supon has ever produced a video. Do you have a link?

I'm somewhat curious about all of this. There's a lot of "facts" about these two surgeons, but it would be very interesting to trace them back to primary sources. I doubt its possible in many cases.

I have the impression someone will say something and others will repeat it and so on until it becomes accepted truth.

Quote from: Clara Kay on December 21, 2015, 07:12:25 PM
I couldn't find any mention of the scrotal mesh technique that you claim Dr. Suporn uses.  Also, there's no mention of using spongiosum tissue in the construction of the vulva/vagina.

Do you have a reference that backs up these claims?

If you email their administration (Sophie) you can get first hand information about technique that dr. Suporn uses and as many technical details as you have concerns. Their website really isnt much informative... and it hasnt been updated in like 10 years.


Full-thickness scrotal and groin skin grafts construct the neovaginal wall without penile skin inversion.

"Meshed" graft can be made from full-thickness and split-thickness skin grafts, depending on the area of use and severity of burn damage. In SRS use for neo-vaginal wall he uses full-thickness skin grafts.

Quote from: AnonyMs on December 21, 2015, 07:40:57 PM
... but it would be very interesting to trace them back to primary sources. I doubt its possible in many cases.

Why not? If you have questions or doubts you ask primary source (-> the administration) directly... they are there to answer the questions of clients and potential clients.

Quote from: AnonyMs on December 21, 2015, 07:40:57 PM
I was not aware he has ever produced a video. Do you have a link?

I'm somewhat curious about all of this. There's a lot of "facts" about these two surgeons, but it would be very interesting to trace them back to primary sources. I doubt its possible in many cases.

I have the impression someone will say something and others will repeat it and so on until it becomes accepted truth.

I'm still looking... it was not by him but by a person being present and filming an operation...

there was a machine... like a drum... tissue was inserted and like dotted with small rectangles... and it was very stretchy afterwards...

well not finding it at the moment... if I find it I'll post the link...