Article

Karr is briefly mentioned in this article.  The rest focuses on the availabilty of surgeons in Thailand.

Excerpt:

Patients typically book appointments in advance from their home countries and are already women in every sense, except anatomically, Preecha said.

The majority of foreign patients come from the United States, followed by Europe and Australia. For many, it's their first trip abroad and most travel alone. Preecha performs up to 200 surgeries a year himself and estimates roughly 1,500 procedures occur annually in Thailand at his clinic and elsewhere with his students.

"The patients are so desperate to have this kind of operation," Preecha said. "The reason they come, No. 1 is because they can get good results, and No. 2 the price is low and they can afford it."

The most expensive genital reconstruction at Preecha's clinic costs $9,500, a fraction of what doctors charge in the U.S.