Hi Zoey,
I just noted you ARE in SA, and therefore your question.
I live in Pta and went through this hole spiel with Dr. Franco Colin. Am still a bit rattled about the experience though it is over now, thank God.
Dr. Suporn I understand is quite good but is also about R 30'300 more expensive (495k Thai Baht = 16'400 US$) and in fact yet even more pricey then Dr. Chettawut at about US$13.5k - the last I have heard this year.
Also, I should think you are closer to Durban and would have to see Colin on a monthly basis, at an initial 1hr at R980-00 and then at minimum of 15min at R450-00. (He has to maintain his wine farm, ML350 4x4, etc. - yeah my inner bitch is speaking).
Furthermore none of the medical aids in SA will actually cover those cost. Do not expect anything like "therapy" he is just a gate-keeper. Said enough.
If you go to someone else (other therapists), Prof. Lindeque, head of SBAH gynaecology, will not accept anyone else's letter.
I have seen this during my first and last Gender-meeting. Plus you have to see them all at the Gender-meeting (after getting a Colin pass in one year's time) where they will grill you some more.
There you have to shut up and just accept what ever stuff they throw at you, AND ask for NOTHING at all!
If you not very submissive you can wait for ever or get declined for some reason or other, never mind what Colin had to say before. He is completely under the Prof's thumb!
Also Colin will refuse to clear you for HRT, yet he will want you to be 1 year on RLE (the idjet).
If you pass the gender-meeting too, waiting time begins. Anything from 1 - 3 years, as cancer patients always get priority. They will insist on colon-section, two of my friends had that, and it is one HEAVY op. BTW they have only done about 50 SRS ops. Compare that to the Thai surgeons, with the best know ones all more then 1'000 ops!
Protocol of Steve Biko Academic Hospital in Pretoria:
Op #1 is penectomy and orchiectomy leaving some funny thing sticking out that is supposed to be a clit, followed by all the leftover skin from "emptied" penis of erectile tissue and the empty scrotum. Leaving two "dried figs" in a row --- really weird looking. That you will have between your legs for about 2 years if not longer!
Op #2 some year later (at best), and ending up with an abdominal scar from hip bone to hip bone. Cutting a piece of your sigmoid colon, flipping it over, re-connecting by staples the cut sigmoid colon (staples will stay inside for good) then using the flipped over piece to make your vaginal channel.
Depth is no issue, ~ 7" BUT width is in need of very painful dilation --- what ever they'd tell you!
My second friend was in horrible pain for days after that op and vomited more the anything I'd seen before.
Even with younger girls (she is 23) there is a propensity to have a swell-tummy, looking like anything from 5 - 7 month pregnant. This seems a reaction to the colon surgery (just my opinion) and is very difficult to get rid of, - if at all.
Op #3. vaginoplasty after yet another 1 year (if you lucky).
Their protocol, of op #1, leaves you with the urethra too far forward (spraying over this clit contraption, always!) and for all I know you also just have to accept that as is.
They do some "clean-up" of leftover penile and scrotal skin. I don't think they actually do clitoroplasty either. So you have this funny thing sticking out of you vulva --- really not a "normal" looking female genital at all. If you say anything - you are told that you're expecting too much i.e. shut up as it's for free.
What I described to you is what they call their "superior results".
The whole procedure is really geared toward cancer patients that need their vag. channel, cervix, etc. replaced and I think that is just fine, and also the only thing that can be done for those poor women.
It is NOT your most preferred protocol to GRS, and ONLY if there is not enough "material" to work with, a sort of a last resort to achieve more depth.
To my knowing 98% of SRS is done by some form of "inversion" as also the techniques have improved over the years and creating good depth.
I hope I given you some SA insight and as you can see, it ain't so pretty.
You get what you pay for...
Hug,
Axelle