Posts Tagged: Sex Change Surgery

As people grow, there are certain questions in your mind. How did you know that you are a boy or a girl? Was it because you had a penis or vagina? Some people feel that their mind and body don’t match up. This is commonly known as gender identity disorder or gender dysphoria. Community called it transsexuals but today the general term used is transgender.

Male To Female Gender Reassignment

Transgender people often wished to live in different gender rather than the one they were assigned when they were born. The word transition is used to describe a shifting of one’s gender to another. Make sure that you choose accredited surgeon. Before the sex change begins patients must have intense counseling to ensure that they are aware of the implications whether physically, mentally, and psychologically in changing genders. If the counselor and the patient decided to have the same idea in gender reassignment surgery then procedure will proceed but patients must complete a course of hormone replacement therapy. The hormone replacement therapy in male to female reconstructive surgery will encourage growth of breast tissue and will reduce the amount of body and facial hair. Those are information about male to female sex change surgery that will help you.

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There are pre-operative cares that you should undertake before taking the actual operation. The following are needed in order to proceed with the surgery.

Sex Change Pre-Operative Care

1. Letter of recommendation. It is either from (1) Therapist (2) Psychiatrist (3) Endocrinologist or General Practitioner.

2. Discontinue the use of hormonal treatment at least 14 days prior to surgery. It is because hormone treatment can increase the risk of thrombosis or blood clots. Oral tables should be stopped two weeks prior to surgery while injectable should be stopped four weeks prior to surgery. Oral antiandrogens can be stopped three days before surgery while if injectable four weeks.

3. Have preoperative physical check-up within three months prior to Sex Reassignment Surgery. You must also be confirmed by a private physician to be free from serious medical diseases. Patient should pass the following blood tests which includes:

• CBC, HIV Electrolytes, FBS, Creatinine Urinalysis
• Alkaline Phosphatase, Chest X-ray
• SGOT LDH EKG

4. Make sure to reduce smoking, stop taking aspirin, ibuprofen, and other vitamin like Vitamin E.

5. Make appointment one month prior to surgery date and itinerary.

6. HIV positive patients can be done but will cost extra 30% because of the necessity of using disposable instruments.

7. The period of your total stay should be discussed before scheduling your flight. So better arrange your flight to arrive Bangkok before your surgery 2-3 days.

8. No need for any particular vaccination except for those who come from or through the countries where there are reported cases of Yellow Fever.

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Just like other cosmetic procedure, all cases are done under general anesthesia. Position is set in standard lithotomy. Silicon made cushion is used to support the weight bearing area just before the operation starts. The perineal skin flap is made in proper shape and size. It is joined with inverted penile flap for vaginal opening reconstruction.

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The vaginal space and opening are created below the urinary tube or urethra and prostate gland. After passing the prostate capsule at about four inches depth, plane become loose and direction will be downward slant until to the recto-vescicle pouch. It will cause newly created space normally 6-7 inches or even more that depends on the anatomy of individuals.

Bilateral orchidectomy or removal of testes and spermatic cord can also be done as a sex change procedure. The inverted skin flap from the penis is used for the skin lining of neovagina. Scrotal skin graft will be routinely added for additional depth. Penis shaft is removed except some small parts of the gland and of course the sensory nerves and vessels should remain intact for constructing the sensate clitoris.

Sex Change in Thailand by Dr.Tanongsak

The Male to Female SRS is completed with one stage with result of 

a. Sensate Glans- Clitoris

b. Neourethra

c. Vulva Floor

d. Labia major and minor

e. Neovagina of 5-6 inches

Our Serviece

– Male to Female Sex Change

– Female to Male Sex Change

Sex Change Surgery Before & After Photos

by Dr. Tanongsak with Asia Cosmetic Hospital, Thailand

It’s hard to live in the Society night now because we don’t know whether these persons are really men or Women. Nowadays,the plastic Surgery in Thailand has Keeped going on and Approved that Thailand is the best Plastic Surgery for Sex Change both from male to Female and Female to male, Except for Doctors and Medical Students can Classify who are the Reality for that Gender.

The first person who had done Sex Change from male to Female named George will iam Jorgensen, Jr, usae was born on May 30, 1926  and died on May 3,1989 by Cancer. He had done Sex Change Surgery after he Graduated from Christopher Colum bus high School. In Photographer major since 1945. He was Conscripteol for army Service in world war II. After he came back here, he Starteel talking about the right and support for the 3^rd gender According to Dr. Joseph Angelo. he Travelled to Denmark for doing Sex Change Surgery by Dr. Christian hamburger and  came back to the united states in 1953. New york newspqper had been Headlined that the became blonde Beauty and Changed named to Ms. Christian Jorgensen. She got the Interes by Public, Presented on tv Programmes also to be an actress, dancer even expert who gave Acknowledge about  Sex Change. She also was the Inspiration for the third Gender to stay in the Society.

Sex Change – Sex Reassignment Surgery in Thailand

by Dr. Tanongsak with ASIA COSMETIC HOSPITAL

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