Well in the UK the entire change can be, and indeed is, done by many people on the NHS for free.
Even in the US if you do only what is absolutely necessary to allow you to live comfortably as you wish you should be able to complete the job for less than $30,000.
Finally please don't knock Thailand - it may not be everyones choice. But the best surgeons in Thailand are unquestionably amongst the very best SRS surgeons in the world. That is a simple fact. It simply isn't up for debate. Yes there are also some awful cheapskate butchers shops, but you don't go to them. You go to the best Thai doctors and you get a top class result at a massive saving.
PS - Susans is a supportive community - whatever you say you have decided to do you will find people who will support that idea.
So if you post two contradictory threads you inevitably get two sets of different answers. The important thing, as I said before in the "other" thread, is to pick ONE solution and then stick with it long enough to see if it works. Otherwise as you have already conceded you may well be still on here aged sixty with an aging irredeemably make figure, no hair, and still no further on. Is that waht you want? Because if it isn't this is the wrong thread to be paying attention to!