Hello, question for post-op girls. Im planning a trip to thailand to have my SRS surgery. I read some things about dr peercha, dr suporn, dr chettawut and dr saran. Im not concern about the cost, im looking for the best srs surgeon out there.

Thank you girls I appreciate any recommendations

Undoubtedly Dr Supporn

I personally favor Suporn, but you'll find opinions supporting or criticizing everyone so its very hard to work anything out. As kind of a popular vote that you might consider that Dr Suporn is by far the most expensive Thai surgeon, and also has by far the longest wait list.

Perhaps this is helpful
https://www.the-ress.net/files/SRS-With-Dr-Suporn-2015.pdf

Dr suporn waiting list is the longest 😭

I went to Sanguan Kunapron 15+ years ago, and while it isn't 'perfect' (as in when I'm swollen one sides slightly larger than the other), the nerve work was nothing short of goddess done.  I have amazing orgasms. Maybe its just me, or maybe it was Kunaporn.   Whatever it was, I love it

I wouldn't use a Thai surgeon at all. In fact, if they were the last SRS surgeons on the planet, I'd go without. Why? For a variety of reasons including ethical considerations. One of them will do both SRS and FFS, one after the other, and have you under a general anaesthetic for over 6 hours. This is not considered best practice anywhere else in the world.

Also, I think better work can be found elsewhere, particularly amongst some of the less well known surgeons. There are also the well known surgeons in Europe, Canada and the US. Australians have a local option, too.

And having seen a Suporn disaster that he refuses to fix, I would not go to him.

To see bad or negative results from one physician and suddenly all become suspect? That's is a pretty broad paint-stroke for a brush you know.  For someone that has never been there apparently, you have pretty strong opinions.. perhaps you can agree others might have had positive experiences?

I for one know some rather terrible US surgeons as a nurse having worked with some royal idiots.. yet that doesn't mean they're all like that.

Quote from: Doreen on July 18, 2016, 05:54:01 AM
To see bad or negative results from one physician and suddenly all become suspect? That's is a pretty broad paint-stroke for a brush you know.  For someone that has never been there apparently, you have pretty strong opinions.. perhaps you can agree others might have had positive experiences?

I for one know some rather terrible US surgeons as a nurse having worked with some royal idiots.. yet that doesn't mean they're all like that.

No, it's not just that one example.. Outside of this site, their are plenty of issues to be found.. I actually mentioned 2 surgeons, only one by name.

I could list all the reasons I wouldn't use a Thai surgeon but it would take a while.. Here's a few of the highlights..
- The previously mentioned anaesthesia issue.
- Dubious claims to Board Certification and training.
- Quality of aftercare.
- Ethics.

There are US surgeons I wouldn't go to either. There's also an Australian surgeon I wouldn't go to.

As far as I know the only surgeons you don't hear problems from are the ones who haven't done much work or people don't write about (in English). For surgeons where there's been a decent amount of reviews I think they have all had reports of significant problems.

It's not really possibly to know second hand how much of what you read is true or not, though in some cases there's so many negative (or positive) stories you can't help but believe it. Or at least judge the risk too high.

I think I read there's about 20 SRS surgeons in Thailand, most of who I've read either nothing or very little about, and some where everything I've read is bad. I'd never consider most of them.

For me, going off what I can find on Internet and people I've spoken to, it comes down to having a reasonably certainty of knowing the risks and the likely result.

Quote from: kelly_aus on July 18, 2016, 06:28:22 AM
I could list all the reasons I wouldn't use a Thai surgeon but it would take a while..

Honey, we have all the time in the world, and we are all ears!

Quote from: kelly_aus on July 18, 2016, 06:28:22 AM
Here's a few of the highlights..
- The previously mentioned anaesthesia issue.
- Dubious claims to Board Certification and training.
- Quality of aftercare.
- Ethics.

- There are reasons why it takes hours. As complicated surgery as this, sadly takes a long time under anesthesia. If there would be a fairy with magic wand, we would all choose that instead of 6 hour surgery! The only way to speed up the process is to opt out for one of less complicated techniques, choose a team of surgeons instead of one surgeon, and specifically request as short time under GA as possible, and accept a possibility for less than ideal result.

- board certification and training should be checked before you agree to surgery with any surgeon. Every smart and responsible patient does that.

- Quality of aftercare is indeed one of most important factors! Im sure some Thai surgeons offer very little in that regard. Some other offer the opposite. PAI and dr. Chettawut provide great aftercare. With Suporn you pay for best aftercare possible. Thats where the extra money goes. 25 people employed. And its only possible because its Thailand. Imagine price for something like this in USA or Australia with salary difference.

- Which ethics? I can only think of one thing. That is: avoiding some of WPATH guidelines and providing surgery to those who dont necessarily meet the suggested requirements for such surgery, and would never get approval for SRS in their own country. Some people dont even get approved for HRT in their own country, but they can have SRS in Thailand. I cant think of anything else.

And as usual, people get all bent out of shape when I express my dislike and distrust of the Thai surgeons. Why is it impossible to accept that someone might not want to use them?

Quote from: mmmmm on July 18, 2016, 02:24:20 PM
- There are reasons why it takes hours. As complicated surgery as this, sadly takes a long time under anesthesia. If there would be a fairy with magic wand, we would all choose that instead of 6 hour surgery! The only way to speed up the process is to opt out for one of less complicated techniques, choose a team of surgeons instead of one surgeon, and specifically request as short time under GA as possible, and accept a possibility for less than ideal result.

Nope, no reason to keep someone under a GA for 16 hours. But there's a surgeon who will schedule both SRS and FFS on the same day and keep you under for the whole time. Acceptable time for a GA is 6 hours, unless emergency surgery is required, and this is unethical behaviour. Multiple procedures should be scheduled for different days - at least that's what I was taught in Med School.

Quote- board certification and training should be checked before you agree to surgery with any surgeon. Every smart and responsible patient does that.

And what about when they lie to your face? As one of them does. His website states he has appropriate Board Certification. However, getting a Thai friend of mine to check with the Board showed that he had no current Certification and hadn't for some time.. This is also unethical.

Quote- Quality of aftercare is indeed one of most important factors! Im sure some Thai surgeons offer very little in that regard. Some other offer the opposite. PAI and dr. Chettawut provide great aftercare. With Suporn you pay for best aftercare possible. Thats where the extra money goes. 25 people employed. And its only possible because its Thailand. Imagine price for something like this in USA or Australia with salary difference.

Actually, allowing for flights, accommodation etc, given my level of insurance, it's just as cost effective for me to have SRS here in Australia - where aftercare is provided in a hospital with access to a full medical staff.

Quote- Which ethics? I can only think of one thing. That is: avoiding some of WPATH guidelines and providing surgery to those who dont necessarily meet the suggested requirements for such surgery, and would never get approval for SRS in their own country. Some people dont even get approved for HRT in their own country, but they can have SRS in Thailand. I cant think of anything else.

I've given 2 examples here of ethics issues. If they are prepared to do those things, what else are they prepared to do? They might be OK with you, but it's not OK with me.

Oh.. I forgot a good one. There's a surgeon who has to work out of their clinic as they have been censured by the Thai Medical Council and have no rights to work in any hospital - due to unethical practices such as those I have mentioned.. Might even have killed a patient or 2..

You know, it's funny, a person asks for opinions and when one is given that goes counter to the herd here, they are questioned and made to feel like outsiders.

Dont get me wrong... I have got nothing against your distrust and dislike, Im just curious whats behind it, thats all..

16 hours under GA? I never heard about anything like that. Average time for SRS is about 4 hours. With Brassard its less than 3 hours. Surgeons like Suporn and Chettawut who do a bit more complicated technique end up having patients under GA for about 6 hours. Except in cases of complications, it usually never lasts much longer than that. Colovaginoplasty can take a bit longer, but thats another exception.

Surgeons usually dont want to combine SRS with any other surgeries, and advise against it. Its called common sense. If you are persistent, some might be willing to do breast augmentation, or smaller facial procedure. But no sane surgeon is going to do full FFS after SRS, and keep patient for more than 10 hours under GA. I never heard for something like that. If you noticed (Im sure you did) that thread where older patient had FFS and SRS and breast done in 1 surgery, they had all that done at the same time, with one surgeon doing SRS, another surgeon doing FFS, and third surgeon doing breast surgery. So it didnt take any longer than FFS would on its own. Still, I wouldnt ever advise anyone doing that... regardless of anything.

If they lie about their certification, you can still check their background. Not just certification... I didnt felt I needed to do that, because surgeons I chose didnt have questionable background and expertise. Still, without my say, one of my parents asked one relative (who is MD with plenty international connections) who did a full background check on my FFS surgeon. Like literally having conversations with few surgeons current and former colleagues, and former boss of hospital where he worked for 15 years, etc... I specifically requested to not do that again for my SRS surgeon. 

I fully understand you on that about clinics. I wouldnt choose to have a big surgery in clinic either. For me, having such surgery in proper hospital, was unavoidable requirement. Complications happen... even if its just 1%, Im not taking chances.
   

I'd be curious to see a list of no-go's if you're willing to share. I'm nowhere near being able to afford it, but it's never too early to start ruling out the bad apples. Particularly the ones in North America?

Quote from: IdontEven on July 18, 2016, 10:49:48 PM
I'd be curious to see a list of no-go's if you're willing to share. I'm nowhere near being able to afford it, but it's never too early to start ruling out the bad apples. Particularly the ones in North America?

You can find a lot with Google. Just invest the time.

Regarding what Kelly said I think some of it is not very well known.

I don't know of any issues with Suporn apart from what was posted here some years ago and that's not enough to put me off. The only issues I see with Suporn is a more difficult recovery and cost, and I don't care about either of those.

I don't know much about PAI so I'd normally totally write them off, but Warlockmarker is most impressive in her due diligence. I find it hard to imagine she could be wrong in her choice. I'd still pick Suporn though.

I'd recommend doing your own research, as you may be OK with things that I'm not. And the info is all out there.

I had SRS with Suporn last week    So far Im thrilled with the results, any questions fire away 

Quote from: Eva on July 23, 2016, 12:39:39 AM
I had SRS with Suporn last week    So far Im thrilled with the results, any questions fire away 

Congratulations!

As to my question, what do you think people should know before they go? Is going there like you though it would be?

The week in hospital in bed will suck more than you imagined.... If you can bring a friend you probably should, hotel is pretty boring too.... Otherwise yes its all in line with what Ive read....

How are you finding it with all the other women there? I heard its a good experience.

There are all kinds, Suporns working girls are are beautiful and very nice, other TS girls mostly OK too but I'll admit its a little weird being around this many at once