I thought that reading everyone's experiences of their SRS would help me decide which surgeon to go to. But, it feels like the more I know, the more I know that I don't know.

As I've said in another thread, I feel like I'm stuck between a rock and a hard place. I've got to have SRS before the end of this year, but the decision actually seems to be getting harder. I've almost made up my mind to play it safe and go local in the UK and miss out on all the finer cosmetic details for an easier healing process, possibly.

So the question is, if someone had a chance to have SRS again, would they stay with the same surgeon or would they switch to a different one? Putting the question another way, who would be your second choice if the first became unavailable to you?

I'm gonna follow this thread

I went to pichet and I know two other girls that were there with me and they had good results from what they say. One has been having sex and ones a lesbian. And as far as me. Looks good and everything down there feels so good haha. I give my surgeon a 8.5 on my surgery out of 10. I took points off because when stuck the dilator in me the first time he was so rough. Plus I didn't have much fun in Thailand

I would do it all again the same in a heartbeat. (But I'm NOT saying other surgeons are bad/worse/a poor choice! There's no way for me to know that *without* doing it again. )

I used Brassard, and his aftercare residence was fantastic and gave me so much peace of mind. Almost a year later and I'm cosmetically perfect, totally sensate, 5.5" of depth and can use the 1.5" diameter dilator with no problems. As far as I'm concerned, that's everything I wanted - and again, probably would have gotten from any of the top tier surgeons.

Quote from: Jenna Marie on May 27, 2013, 05:41:11 PM
I would do it all again the same in a heartbeat. (But I'm NOT saying other surgeons are bad/worse/a poor choice! There's no way for me to know that *without* doing it again. )

I used Brassard, and his aftercare residence was fantastic and gave me so much peace of mind. Almost a year later and I'm cosmetically perfect, totally sensate, 5.5" of depth and can use the 1.5" diameter dilator with no problems. As far as I'm concerned, that's everything I wanted - and again, probably would have gotten from any of the top tier surgeons.

Cosmetically perfect is all I read. I'll have one of those, please. So it's possible to have a very good cosmetic outcome with a penile inversion? If you don't mind, why did you choose Brassard over others?

Brassard was one of my choices. I didn't go to him because of depth. He usually gets 5,5" of depth. I am a size queen LOL. Everything else about his work can't get any better.
My other option was Suporn. I was determined to get the surgery by him until I met him and his stuff. They were all with fake smiles, pretending like they are the best on earth, and after all they only wanted my money. So this was a big no to me... After several months I learned about Suporn's buried secret.  I used to have a big penis and I am glad I never went with Suporn.
I decided to have my surgery with Chettawut because he is very honest, he said that there is no guarantee for anything and his point was not to sell his technique but to explain it and let me decide. He is consistently getting great sensations and cosmetics, and most of the times a decent depth. I never regretted my choice and if I had the chance again I would go to Chettawut. I really don't know what would my result be like if I went to another doctor but I got everything I ever hoped for from my SRS with Chettawut.

I am following your thread

Quote from: Tristan on May 27, 2013, 05:19:51 PM
I went to pichet and I know two other girls that were there with me and they had good results from what they say. One has been having sex and ones a lesbian. And as far as me. Looks good and everything down there feels so good haha. I give my surgeon a 8.5 on my surgery out of 10. I took points off because when stuck the dilator in me the first time he was so rough. Plus I didn't have much fun in Thailand

So you had a rough defloration:)))
into rough things from the very first time ))

I also need to follow this

I need to find one but with it so expensive I may die before I get this much

Nicolette - I primarily chose him because of that aftercare, honestly. For me distance and price were equivalent for him and McGinn and Rumer, but I liked the peace of mind of 24/7 nursing care for a week after.

And yes, I know quite a few women who had cosmetically excellent results from penile inversion. I was examined at 4 months post-op by a doctor who said the only way he could tell the difference was the ring of scar tissue at the entrance and that that will fade with time (which it has). Without a speculum, it's pretty hard to tell me apart from someone born with a vulva and vagina, now that the external scars have also faded and been covered with hair.

Brassard is fairly up-front that he only does 5.5" of depth, and anything "extra" after that he uses to improve the cosmetic outcome. I'm OK with that because I'm married to a woman, and comfortable with the idea that most penises don't get more than 5" in anyway, but I totally understand that depth is a concern for a lot of people. I cared more about sensitivity and looks, in that order.

(As for sensitivity, I was orgasmic in my sleep at 3 weeks post-op and managed it awake a couple months later, when I was sure I wouldn't break anything. I'm also self-lubricating.)

Quote from: Nicolette on May 27, 2013, 05:09:26 PM
........ I've got to have SRS before the end of this year,

Can't help wondering the surgery has to be done this year. Would you mind explaining?

QuoteSo the question is, if someone had a chance to have SRS again, would they stay with the same surgeon or would they switch to a different one?

I would definately go back to where my op was done with the same surgeon.

I really appreciated the nursing care I got in the week, or so, spent in hospital recovering. Which was S.O.P. with him

The determining factor in whom was my surgoen was how much trouble it would be to get back to the surgeon if something went wrong.

It did not, but I didn't want to be in trouble/pain and have to cross oceans to get back to the surgeon.

Yes my first time in was very uncomfortable and it did hurt but I got use to it and now it's fun. I agree with the others. I have no idea how other surgeons results turned out for them but I have to say at this moment I do not regret srs

I went to Preecha (PAI) in 2010. I have  a minor cosmetic problem with a little excess skin that I may or may not have resolved in the future, it really doesn't bother me that much. I have around 6 1/2 inches of depth and sensitivity is great. His clinic now uses a scrotal graft technique which he still describes as inversion in that that have to partly invert the penis no matter what graft material is used, even if its the colon. Therefore the non inversion claims by others are a little exaggerated. I'm from the UK and to be honest I would look elsewhere for surgery unless you intend to use the NHS. The major Thai surgeons currently use all of the glans tissue to maximise the sensitivity of the floor of the vulva. Most other surgeons dispose of everything other that the pedicle that they intend to use for the clitoris. the use of penile skin to form the labia minora also has a more natural look. On the downside, I was hypersensitive for about 6 weeks or so after surgery and that was very uncomfortable.

Quote from: swan on May 27, 2013, 06:03:15 PM
Brassard was one of my choices. I didn't go to him because of depth. He usually gets 5,5" of depth. I am a size queen LOL. Everything else about his work can't get any better.
My other option was Suporn. I was determined to get the surgery by him until I met him and his stuff. They were all with fake smiles, pretending like they are the best on earth, and after all they only wanted my money. So this was a big no to me... After several months I learned about Suporn's buried secret.  I used to have a big penis and I am glad I never went with Suporn.
I decided to have my surgery with Chettawut because he is very honest, he said that there is no guarantee for anything and his point was not to sell his technique but to explain it and let me decide. He is consistently getting great sensations and cosmetics, and most of the times a decent depth. I never regretted my choice and if I had the chance again I would go to Chettawut. I really don't know what would my result be like if I went to another doctor but I got everything I ever hoped for from my SRS with Chettawut.

I am following your thread

I wonder if the usually 5.5" with Brassard includes circumcised North Americans. I'd be happy with 5". I've ruled out Supporn because of circumcision. My gender therapist has advised against Chettawut. Yes, it's doing my head in as I had him high on my list. But you've had no issues with healing and are extremely pleased with the results.

Quote from: bunyip on May 27, 2013, 09:17:21 PM
Can't help wondering the surgery has to be done this year. Would you mind explaining?

Many things are coming to a head, work, social, family and mental wellbeing.

Quote
The determining factor in whom was my surgeon was how much trouble it would be to get back to the surgeon if something went wrong.

It did not, but I didn't want to be in trouble/pain and have to cross oceans to get back to the surgeon.

Exactly. This is my dilemma and why I want to believe in the expertise of the surgeons in my country.

Quote from: Tristan on May 27, 2013, 09:37:40 PM
Yes my first time in was very uncomfortable and it did hurt but I got use to it and now it's fun. I agree with the others. I have no idea how other surgeons results turned out for them but I have to say at this moment I do not regret srs

I wish I could be where you're at. Sometimes, I don't think I ever will be. It seems your healing was smooth sailing. I'm very happy for you, if not a little jealous.

Quote from: Susan T on May 28, 2013, 02:07:32 AM
I went to Preecha (PAI) in 2010. I have a couple a minor cosmetic problem with a little excess skin that I may or may not have resolved in the future, it really doesn't bother me that much. I have around 6 1/2 inches of depth and sensitivity is great. His clinic now uses a scrotal graft technique which he still describes as inversion in that that have to partly invert the penis no matter what graft material is used, even if its the colon. Therefore the non inversion claims by others are a little exaggerated. I'm from the UK and to be honest I would look elsewhere for surgery unless you intend to use the NHS. The major Thai surgeons currently use all of the glans tissue to maximise the sensitivity of the floor of the vulva. Most other surgeons dispose of everything other that the pedicle that they intend to use for the clitoris. the use of penile ski to form the labia minora also has a more natural look. On the downside, I was hypersensitive for about 6 weeks or so after surgery and that was very uncomfortable.

Thanks for this reply. I will look into Preecha.

I'd like you know why surgeons in the UK get such a bad rap. Is there something my gender specialist is not telling me? I wouldn't ever allow the NHS to have control over my life. I'm a private patient. If I go to a UK surgeon, it'll be out of my own pocket. If you'd prefer, you can PM me, but I'd be ever so grateful if you could enlighten me on the situation in the UK. Information seems to be dearly lacking. I am however having a consultation with one of the surgeons here in a month or two. So I need to be ready with questions.

Quote from: Susan T on May 28, 2013, 02:07:32 AM
I went to Preecha (PAI) in 2010. I have a couple a minor cosmetic problem with a little excess skin that I may or may not have resolved in the future, it really doesn't bother me that much. I have around 6 1/2 inches of depth and sensitivity is great. His clinic now uses a scrotal graft technique which he still describes as inversion in that that have to partly invert the penis no matter what graft material is used, even if its the colon. Therefore the non inversion claims by others are a little exaggerated. I'm from the UK and to be honest I would look elsewhere for surgery unless you intend to use the NHS. The major Thai surgeons currently use all of the glans tissue to maximise the sensitivity of the floor of the vulva. Most other surgeons dispose of everything other that the pedicle that they intend to use for the clitoris. the use of penile ski to form the labia minora also has a more natural look. On the downside, I was hypersensitive for about 6 weeks or so after surgery and that was very uncomfortable.

Yeah I know what you mean about the sensation. Mine came back around week 4 and scared the crap out of me at first until I realized what it was. I also agree on the going to Thailand unless your planning on using the NHS. It is good to have that option though

In the UK there are only 2 surgeons who carry out SRS on a regular basis and then its probably a maximum of 2 a week. Their techniques are far from the cutting edge and are either straight penile inversion or peno-scrtotal flap not a scrotal graft. Neither technique allows for enough skin to fashion much in the way of labia minora. I know that Thomas quotes an average width of 4-5 mm for the inner labia with an average vaginal depth of 4 1/2 inches. The external elements are fashioned from from hair bearing scrotal tissue (as is 50% of the vaginal cavity if you have the peno-scrotal flap) so extensive electrolysis is often required. Sensitivity is also an issue and the UK has a lower rate of success when it comes to preserving this.

Contrast this against the experience of major Thai surgeons who carry out one or more surgeries evrey day. Their technique has developed considerably over the last 10 or so years and certainly where I went they claim to have a 98% success rate in terms of sensitivity (Suporn claims 100%, but then he would wouldn't he). I know the arguments against scrotal grafts and in the UK Richard Curtis is vehemently opposed to them. However, where a scraped full thickness graft is used the chance of it taking successfully is excellent. In act I dont know of anybody who has experienced a failure. Problems arise when the graft is compromised by forming it into a mesh in order to squeeze an extra couple of inches from it. Even then there can't be too many failures otherwise Suporn would not have the reputation that he has.

Quote from: Tristan on May 28, 2013, 07:04:17 AM
Yeah I know what you mean about the sensation. Mine came back around week 4 and scared the crap out of me at first until I realized what it was. I also agree on the going to Thailand unless your planning on using the NHS. It is good to have that option though

Tristan, I was hypersensitive almost from day one. Like you i didn't realise what it was until in of the nurses touched the upper part of the outer labia during my first trip back to the clinic and I almost jumped out of my seat (everything at the top end was stitched together at that stage). The nurse then did it again to observe my reaction before she told me the cause.

Quote from: bunyip on May 27, 2013, 09:17:21 PM
I would definately go back to where my op was done with the same surgeon.

I really appreciated the nursing care I got in the week, or so, spent in hospital recovering. Which was S.O.P. with him

The determining factor in whom was my surgoen was how much trouble it would be to get back to the surgeon if something went wrong.

It did not, but I didn't want to be in trouble/pain and have to cross oceans to get back to the surgeon.

Hi Bunyip,

By your name I'm guessing you are Australian which means you went to either Sydney or Melbourne for your operation. I am seriously considering approaching Peter Haertsch for GRS for very similar reason you have given. I have family and friends in Sydney and I worry about being by myself in Thailand while I recover. If my guesses are right I would really like to hear your reply.