I was doing my finances and saw that if I save for 6 more months I'd be able to afford going to Brassard in July of 2017, extreme fluctuations on exchange rate aside.

Initially I was considering PAI CLINIC at Thailand. I'd be able to go there this february, easily. But until I have a set date with someone, i want to keep reviewing things since this is a one time shoot.

I did some forum search already, and I managed to find one result from Brassard online that looked very good. The reason why I am considering this is aesthetic, the result I saw fom Brassard was of a fairly oval shaped vulva, whie all the ones I saw from Thailand are not. I'm unsure if its worth the extra money really. This decision, since my failed attempt at Kamol, has been really tough and I have no one to talk to about it in my dailt non internet life

Thank you all for any input.

If the aesthetic outcome is very important to you I would say Brassard would be a good option. You can also consider Dr Chettawut. He is also very good with the aesthetic outcome. PAI are good but I don't think the results are like Chettawut's or Brassard's. The only difference between CH and B is depth. Chettawut usually gives u 6-7" depth and B around 5.5"

What is your criteria for choosing? What do you are/not care about?

Well

My first priority is of course, getting it done. In two years from now at the ABSOLUTE latest. Ideally at next february(2017) or so.

That is because I need to stop saving so much money and go on with other things, like studying. This doesn't puts any extreme financial limit on it, although for february I'd be limited to Thai surgeons. If I wait a few more months I can afford basically anyone else. I guess my point is I'd wait a few months more if it meant going to someone who would be better for me.

My worry about aesthetics is just having a genital that seens normal. I don't have the expectation to have a cisfemale vulva, in the absolute sense of aesthetic accomplishment. I think "acceptable" is more what I look for.

I worry about function, I'm still young, only 32 years old,and even while on hormones I have high libido. I basically think about sex daily  and wis I could do it that much too. The reason I don't is because of problems in mymarriage, I also work too much and to top it I have a lot of dysphoria regarding my genitals.With that said, I also tend to be choosy about partners and I don't really need a deep canal, just normal sized. By function I mean sensation, that is a priority.

I don't see myself nitpicking about minor details like "oh its a huge clit" or "oh my labia dont go all the way down". I just want to be in a range of normal. Although, the Kamol vulvas I saw with a fairly wide O shaped vaginal entrance did put me off a bit.

And I hope I can get back to work in 2 months  after surgery... although I think I can extend it to 3 months top if the situation calls for it

You pick one of the well known doctors that are doing this surgery often and your are very likely to be happy. Some are more money than others. Simple as that.

Have you looked at Dr McGinn in Pennsylvania?