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Gender Reassignment Surgery Male To Female Thailander

Best Sex Reassignment Surgery Male to Female in Bangkok, Thailand


The Nirunda Clinic in Thailand can help you find your true inner-self with male to female sex reassignment surgery.

The Sigmoid colon/Rectosigmoid vaginoplasty is the same as sexual reassignment male to female, but there is some extra information about what is different between penile skin inversions in each individual.

One stage of the sex change operation uses 3 different techniques:

- Penile skin inversion (PSI) for long penis (>6 inches)
- Penile skin inversion (PSI) with scrotal skin graft (SSG) for medium size penis (2 – 6 inches)
- Penile skin inversion (PSI) with sigmoid colon flap (SCF) for tiny or small penis (<2 inches).

The Nirunda experts in sex change operations will assess the best type of procedure for you, depending upon various factors that also include the analysis of your medical records.

Male to Female Surgery Schedule

Day 1: arrive in Bangkok and meet our staff

Day 2: clinical interview with our surgeon and psychiatrist if necessary, a check for all the medical documentations, the doctor will prescribe antibiotics to clean the bowel for 2 days

Day 3: Continue taking liquid diet, laxative and antibiotics as prescribed

Day 4: Admission to the hospital where you will be asked to sign the hospital consent forms. The nurse will do the complete enema to clean the rectum. The sex change surgery time will be set up and you will be informed. Before the Sex change surgery, the pre-op intravenous sedation will be given to you.

Duration of the Sex Change Operation - 3 to 5 hours

Day 5 – 7: After surgery, you will not eat or drink so you will receive intravenous fluid and antibiotics. 

Day 8: All packing bandaids and catheter will be removed and you will be allowed to start liquid diet and stop intravenous fluid. You will be able to leave the hospital within 5 days since the sex reassignment surgery.

Day 9 – 12: Take time for resting in the hotel at least 5 days before planning to go home

Day 13: You may go out to do some activities, take the stitches off from labias and do the final check-up.

Day 14: You will be transferred to the Bangkok international airport so you can go back home.

The Sex Reassignment Surgical Procedure

The plastic surgeon and general surgeon will simultaneously operate together.

The general surgeon will make a small incision on the lower abdomen.

The sigmoid colon will be isolated about 15 – 20 cm and the remaining colon will be anastomosted with continuous one layer closure. At the same time the plastic surgeon will start the perineal part of the operation as in the Sex Reassignment Surgery.

  • Self lubricated
  • Early sexual intercourse
  • Long length vaginal cavity
  • Our Specialist Team will advise you on how to avoid stenosis, which can develop in rare cases.


After the male to female transformation surgery, you should allow some 4 – 6 weeks before going back to work.

Why choose us?

  • A new age in beauty health care & therapies.
  • A personal touch in each one of our services which guarantees your safety & well-being.
  • Skincare & beauty experts, with a distinct level of professionalism.
  • A variety of therapies & treatments. 
  • Our approach is to keep you fit and also healthy.
  • Our treatments help you purify your body system & re-gain your self-confidence.

If you wish to know more about the Nirunda Clinic and their offers, or if you wish to get a FREE quote for a sex change surgery in Bangkok, click the button below!

Dr. Chettawut SRS/GRS Guide:


Dr. Chettawut Tulayapanich M.D.
Chettawut Plastic Surgery Center
Bangkok, Thailand
Phone: (668) 3133-5836
Fax: (662) 742-0845
Email: cset@truemail.co.th or info@chet-plasticsurgery.com
Website: www.chet-plasticsurgery.com

(Please Review Below)



 The following information is provided as a guide to assist in discovering, researching and selecting a surgeon. After you have narrowed down your search, it is your responsibility to double check the information and ask them any questions that you may have. If you discover any updated or incorrect information, please email info@tssurgeryguide.com so that it can be corrected. Thank you.


 Doctor Chettawut Tulayapanich M.D. is a board certified plastic surgeon in Bangkok, Thailand. He specializes in gender reassignment surgery and has performed over 1,000 SRS and FFS procedures.

 His facility has staff available 24 hours a day and uses the latest technology. A body temperature management system will help to keep you warm and is used in both the operating room and recovery room. They also provide an inflatable, alternating pressure mattress to prevent pressure sores.

 Dr. Chettawut is able to create a vaginal depth of 6-7 inches (15.2-17.8 centimeters) for most of his patients. This will depend on your individual anatomy.

Surgery Requirements:

 Dr. Chettawut requires letters of recommendation for surgery from a psychiatrist or licensed psychologist two months before your surgery date. If you are unable to get letters, you might be able to get a letter from a psychiatrist in Thailand for an additional cost. Patients who can provide only one letter of recommendation for SRS may be required to consult with a Psychiatrist in Thailand for a second opinion. This is due to new regulations in Thailand. The original letter will be kept by Dr. Chettawut.

(List of online gender therapists that provide surgery letters)


 If you have any health problems you should inform Dr. Chettawut at your first consultation. He might require medical records from your doctors. You shouldn't be afraid to disclose any health issues, this is for your own safety so that they can make sure the surgery goes as planned.


 Dr. Chettawut doesn't require hair removal, he will remove most of the hairs during surgery. However, if you have perineal hair then you might want to remove it before SRS. Electrolysis is preferred, but laser or IPL will take less time. If you are embarrassed to get professional services, then the Tria Laser and Silk'n can be used from home for removing dark hairs.

 You also may be able to do some of your own electrolysis from home with the One Touch system. The cheapest place to buy it is on Ebay, it usually costs about $10 USD. Make sure to also get replacement tips though, they bend easily.

 I have found Tend Skin to work very well to reduce redness and bumps after electrolysis. 

Medical Tests:

  1. HIV
  2. Chest x-ray 
  3. FBS (fasting blood sugar) 
  4. CBC (red, white blood cell and platelet count) 
  5. BUN and PTT (test bleeding tendency due to liver disease) 

You must send all test results by email attached in jpg format within two weeks prior to your travel date. The original documents and x-ray films must be presented on your consultation day.


 If you have HIV you must be healthy and have a current CD4 level of over 600. Surgery will cost 50% more to make up for the extra expense of disposable equipment. You will still be able to stay in the same rooms and hotel as any other patient.

Length of Stay:

 You should expect to remain in Thailand for 3 weeks for SRS or FFS. If you plan on getting both SRS and FFS expect to stay 30 days. For breast implants or a tummy tuck the stay will be about 10-14 days.


 Dr. Chettawut takes great care to preserve nerves and feeling. Most of his patients are able to achieve orgasm within a year of surgery.

How Much Does Dr. Chettawut Cost?:

As of 2013 - Currency Converter Below

Male to Female (MtF)Price
Sex Reassignment Surgery (SRS):327,000 THB
Colon Vaginoplasty:500,000 THB
Secondary Labiaplasty:96,000 THB
Corrective SRS:128,00 THB
Forehead/Brow Ridge Contouring:186,000 THB
Trachea Shave Surgery:58,000 THB
Feminizing Rhinoplasty:122,000 THB
Chin Contouring/Shaving:154,000 THB
Jaw Contouring:144,000 THB
Breast Implant Surgery (200-450cc):115,000 THB
Breast Implant Surgery (500-800cc):124,600 THB
Hip Augmentation:200,000 THB

Female to Male (FtM)
Mastectomy (Top Surgery)160,000 THB
Chin Implant Surgery:58,000 THB


 Dr. Chettawut will not allow you to schedule an appointment for longer than a year in advance.


 There is a 20% non-refundable deposit. You can pay this with an international money wire. After sending the deposit, you should fax Dr. Chettawut the bank reciept so that you can schedule your appointment. The deposit does not hold the price, if you don't want to risk a cost increase then make sure to pay in full.

Rescheduling and Cancelation Fees:

 If you reschedule your surgery date more than two months in advance there is no fee. If you reschedule with less than 2 months notice there is a 5% fee, and if you reschedule less than a month before it is 10%.

 You can cancel your appointment 6 months ahead of time without a penalty. Between 6 and 3 months the fee is 10%. Cancelation with 3 to 1 month notice is 15%. If you cancel less than a month prior to your surgery date you will lose 20% of the money.


You can see a picture of Dr. Chettawut's SRS results at this link. Link contains nudity.


 After SRS, you will need to use a vaginal dilator for the rest of your life. This is to retain the depth. Each surgeon has slightly different methods of dilation, you will need to follow your surgeon's instructions. 


 You should make sure to check the cost of traveling when calculating the price of surgery. You can use www.skyscanner.netand www.priceline.comto find the most affordable flights.

Additional Information:

 For more information please visitDr. Chettawut's websiteor you can emailinfo@chet-plasticsurgery.com.

Review or Comment:

 If you have a review, question or comment about Dr. Chettawut, please help others out by posting below or in theforums.

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