I'm going to either Thailand or Mexico for FFS. If I go to Thailand, my choice would be Dr. Pat at Tokai Clinic, who is much less expensive than Suporn and Chettawut. I quickly disregarded Suporn for FFS (although he would still be my choice for SRS) a long time ago because I've read very mixed things about his facial work, and none of the post-op patient photos look good to me. Let's put it this way: Whenever people talk about the wonderful work of Suporn, they almost always mean vaginoplasty. When people go to Suporn, it's almost always for vaginoplasty, and if he does their FFS, it's most likely because they're having SRS and FFS together for convenience. Now I'm not saying that he's a bad FFS surgeon, but he's far from the best, and you can get the same results at a lower price from someone else.
If money were no object while still going to Thailand, then Chettawut would be my choice. Assuming that the post-op photos are representative of his results in general, I believe that he's the best. The results seem to be the most natural-looking as well as the most dramatic. For me, it was down to him and Cardenas until I learned about Dr. Pat.
Dr. Pat may not be the best, but he does all of the procedures that I want/need, and the transformations appear to be major enough that I wouldn't feel like I was wasting money on barely noticeable results. The photos look authentic, and the patients look natural. Search elsewhere on the Internet, and you'll find that he does have a substantial fan club. I'm satisfied. So if I can't go to Cardenas, then I would go to Dr. Pat. I may just do that anyway.
With a cursory glance, I'd say that Dr. Bart is on the same level as Chettawut. On the other hand, people have long said that Ousterhout has lost his touch as younger surgeons have taken up his mantle.