Gender Reassignment Surgery 

This procedure also commonly called Sex Reassignment Surgery (SRS) helps individuals become the person they want to be by transitioning them into the gender they associate with. It is becoming a more common procedure, and more and more individuals are taking the next step in their transition. At the moment we only offer male to female transition. 

Best Candidates:

The best candidate for Gender Reassignment Surgery is someone who is:

  • unhappy with the gender they are and wish to become the gender they associate with
  • understanding that this is a permanent procedure
  • aware of all of the steps
  • aware of any legalities that are required in their country for changing name, gender etc. 

As with any cosmetic surgery procedure, it is imperative you speak to someone you trust, are happy in your life and are psychologically ready.

Preparing for your Procedure:

It is important to discuss with your doctors and with us any:

  • Medical conditions you have
  • The medication you are taking - prescription, herbal and non-prescription

Once you arrive at your destination you will have a physical evaluation with your surgeon, where you will discuss your goals and concerns where you will finalise the plan for surgery. At this examination your surgeon will determine the best procedure for you and explain it to you in detail, including any limitations - after all, it is important that you head into surgery with realistic goals. It is during this examination that your surgeon will also make recommendations for other procedures. 

In the lead-up to your surgery, it is important you do the following:

  • Stop smoking. Smoking can cause problems with circulation and increase the possibility of complications

What to Expect:

Surgical Procedures:

There are a few procedures for male to female transition that can be performed all at once, however, should you wish or should your surgeon recommend you can only get one or two of them. 

Orchiectomy (removal of the testicles)

An orchiectomy is a quick procedure and is often performed as part of a more comprehensive reassignment process. It is imperative to recognise that without testicles male hormone testosterone will not be produced. 

Penectomy (removal of the penis)

This procedure can be performed as a single procedure or as part of the gender reassignment process should the individual want to create female genitals. During the penectomy, the urethra will also be shortened and redirected. 

Vaginoplasty (creating a vagina)

This procedure is to improve the function of the body part and should not be confused with labiaplasty, which is more for aesthetic purposes. A vaginoplasty is used to create a vagina and is often done so by using the skin of the penis and turning it inside out to create the walls of the vagina. Of course, this depends on the size of the penis and the surgeon's techniques. During this procedure, it is also common to alter the urethra by is shortening and repositioning it, this is another difference in anatomy between men and women. It is also common to include a labiaplasty and clitoroplasty to create female genitals that are aesthetic, minimally scarred, and sensitive to sexual arousal. 

Facial Feminisation 

The way in which this is achieved varies on the individual, but the following are common procedures used.

Body Contouring

The way in which this is achieved varies on the individual, but the following are common procedures used.

Length of surgery: 

The length of surgery depends a lot on the procedures, your body and your surgeon. It is common to stay in the hospital for 12 days. 

Recovery and post-op care:

While it depends on the procedure you underwent, it is common to experience the following:

  • Pain and discomfort following the surgery, this can be managed by painkillers prescribed by the surgeon.
  • After 4 to 6 weeks clients will be able to return to light work . Strenuous work and exercise can begin by 6 to 8 weeks. 

While it depends on the procedure you underwent, it is common to have to do the following:

  • After the surgery per the surgeons instructions dilation (stretching the vagina walls periodically) should be done. Clients will be given dialators to wear inside the vagina to ensure it does not close over or change in shape.  It is common to do this for eight weeks following your vaginoplasty, however, the frequency that this is needed will change over time. 

  • The vagina should be cleaned regularly in a particular way as per surgeon’s instructions.

Length of Stay:

Most surgeons recommend staying on holiday for at least 12 days, during this time you will have regular check-ups. To get the most out of your recovery time we suggest you partake in gentle exercise, yoga classes and treat yourself to some pampering. If you are feeling up to it, there is plenty to see and do in Phuket, Bangkok and Kuala Lumpur.

 

Other procedures to consider:

Non-surgical procedures can be added to give an even more youthful appearance and change the texture of your skin so you return home even more refreshed, such as cosmetic fillers for reducing fine lines of laser resurfacing and chemical peels.

Preconditions and risks:

Risks and complications are minimised by using our highly-skilled, trusted doctors and nurses. However, with every precaution taken complications can still occur. These are rare and few patients experience any issues. If you have any concerns about your procedure and the possible preconditions and risks, discuss them with your doctor and nurses.

Potential risks include:

  • Hematoma. A small hematoma can be corrected through puncture and the larger one needs the patient to undergo surgical treatment.
  • Nipple necrosis. Aesthetic procedures can reconstruct the nipples should this happen.

It is important to read the general preconditions and risks page before any surgery.

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