---------------------------------------------------------------------------------------------------------------------
Male-to-female gender reassignment involves two operations on the external genitalia: Removal of the penis and the creation of a new vagina canal. If you are interested in additional procedures please find price examples below:
Breast Implants (less than 400cc) US $ 2,600
Adam’s apple shaving US $ 650
Voice Change US $ 3,000
Mandible angle reduction (Jaw line reduction) US $ 2,500
Cheek implants US $ 1,200
Hair Transplants THB 80 or US$ 2.5 / per hair graft
Forehead (brow) Lift US$ 1,200
Rhinoplasty (Nose reshaping/reduction) US $ 1,600
Alarplasty (reduction of nostril size) US $ 350
Additional night at the hospital (per night) US $ 130
Please note that the need for additional procedures is unique to every patient. It depends on the individual’s appearance and desires and should be decided in consultation with the surgeon.
---------------------------------------------------------------------------------------------------------------------
In order to be a candidate for sex change surgery you must meet the requirements below:
- Great cost savings! You can save up to 60-70% compared to Europe, North America and Australia.
- Excellent quality!
- Personal Service! Hygeia Healthcare guides you through the whole process.
- You do no have to pay for our service! You simply pay exactly the same price as if you contacted the hospital directly.
- Combine your surgery with a holiday in amazing Thailand.

3.) How to book
It is very simple to book your treatment with us. Follow the three simple steps below:
Step 1: Complete the online inquiry form
Step 2: Complete the online medical questionnaire to find out if you are likely to be a suitable candidate and send the above required documents: http://www.hygeiabeauty.com/medicalquestionnaire.html
Step 3: Complete the online booking form: http://www.hygeiabeauty.com/bookingform.html
* The surgeon recommends that the patient sends the pictures of the relevant area in order to determine the most suitable treatment and a more precise price estimate. For your safety images can be sent to secureimages@destinationbeauty.com. All images are subject to our strict privacy policy and will only be viewed by the relevant surgeon.

Requirements
In order to be a candidate for sex change surgery you must meet the requirements below:
- Provide a certificate from a licensed psychologist stating that you are a suitable candidate for sex change surgery.
- Provide a medical certificate stating that you are healthy and fit to undergo surgery.
- Provide documentation (prescriptions or other documentation) that you have been taking hormones for at least 1 year.

How to book
If you are interested in sex reassignment surgery and want to book an appointment it’s very easy. Simply follow the steps below:
Step 1: Complete the online inquiry form
Step 2: Complete the online medical questionnaire to find out if you are likely to be a suitable candidate for your requested procedures and send the above required documents: http://www.hygeiabeauty.com/medicalquestionnaire.html
Step 3: Complete the online booking form: http://www.hygeiabeauty.com/bookingform.html
* The surgeon recommends that the patient sends an image of the relevant area(s) in order to determine the most suitable treatment and a more precise price estimate. For your safety images can be sent to secureimages@destinationbeauty.com. All images are of course subject to our strict privacy policy and will only be viewed by the relevant surgeon.
4.) Previous Surgery Pictures
 gemder reassignment surgery SRS.jpg)
Picture I Picture II

Yanhee International Hospital
Yanhee International Hospital is one of the largest hospitals in Asia with the biggest plastic surgery department. With 20 years of quality service, it has expanded and grown to an international standard level that has attracted innumerable patients from all corners of the world, as well as local patients. Yanhee International Hospital is recognized worldwide as a “One-stop Health and Beauty Treatment Shop” one of the most complete and largest beauty treatment centers in Asia.
Yanhee International Hospital adheres to the highest internationally accepted standards of medical practice and management. As proof of quality, and to guarantee patient
safety and satisfaction, Yanhee International Hospital is certified with the internationally acclaimed ISO 9001: 2000 standard.
Yanhee International Hospital is a modern 10-storey building with 400 beds capacity and equipped with modern facilities to serve in-patients and at least 2,000 out-patients daily for both medical and beauty services.
Yanhee International Hospital has highly-trained medical staff to deal with major and minor medical problems—these consists of 95 full-time doctors, specializing in their own medical field of specialization and 120 part-time health professionals along with 800 caring, considerate and compassionate nurses and staff at your service. Yanhee
Furthermore, Yanhee International Hospital has complete state-of-the-art medical facilities to ensure safety for each and every patient. The Hospital has 95 OPD examination rooms and delivery rooms, ICU, dialysis machines, nursery room, emergency room, and laboratory, which is guided and maintained by a universal safety standard of sterilization.

6.) The surgeons
Below please find the CV’s of the relevant surgeons at Yanhee International Hospital:

Dr. GREECHART PORNSINSIRIRAK
Educational Background
- Doctor of Medicine, Chulalongkorn University, Thailand, 1985
Specialty Training
- General Surgery, Chulalongkorn Hospital, Thailand, 1991
- Plastic Surgery, Chulalongkorn Hospital, Thailand, 1994
- Plastic Surgery, American Society of Plastic and Reconstructive Surgeon in Montreal, Canada, 1995
- Microsurgery, Singapore General Hospital, 1996
Membership, Specialty Boards & Fellowship
- Certified Plastic and Cosmetic Surgeon, Medical Council of Thailand
- General Surgeon, Thai Medical Council in 1991
Work Experience – 22 Years
- Phang-Na Hospital
- Chief Plastic Surgeon, Samitivej Hospital
- Piyavate Hospital
- Thai-Nakarin Hospital
- Bangkok Nursing Home Hospital
- Chief Plastic Surgeon, Yanhee International Hospital, 1988 – present
------------------------------------------------------------------------------------------------------------

Dr. THAWATCHAI BOONPADHANAPONG
Educational Background
- Doctor of Medicine, Chulalongkorn University, Thailand, 1985
Specialty Training
- Clinical Science Diploma, Khon Kaen University,Thailand, 1993
- General Surgery, Khon Kaen University, Thailand, 1998
- Plastic Surgery, Chulalongkorn University, Thailand, 1999
- Christine M. Kleinert Institute, Louisville, Kentucky, U.S.A.
- Plastic Surgery Associates, Jackson, Mississippi, U.S.A.
- Division of Plastic Surgery, Toronto General Hospital, Toronto, Ontario, Canada
Membership, Specialty Boards & Fellowship
- Board Certified General Surgeon
- Board Certified Plastic & Cosmetic Surgeon
- Fellow, Royal College of Surgeons of Thailand (F.R.C.S.T.)
- Fellow of the International College of Surgeons (F.I.C.S.)
- Member, Society of Plastic and Reconstructive Surgeons of Thailand
Work Experience – 14 Years
- Khon Kaen Hospital
- Yanhee International Hospital
------------------------------------------------------------------------------------------------------------

Dr. VITAWAT ANGKATAVANICH
Educational Background
- Doctor of Medicine, Chiang Mai University, Thailand, 1994
Specialty Training
- General Surgery, Chiang Mai University, Thailand, 1997
- Plastic & Reconstructive Surgery, Chulalongkorn University, Thailand, 2000
- 7th International Congress of Oriental Aesthetic Plastic Surgery, Seoul, South Korea – 2000
- 9th Congress of Asian-Pacific Association of Laser Medicine and Surgery – 2001
- 13th Congress of International YAG Laser Society, Pattaya, Thailand – 2002
- Training in Microsurgery and Flap Dissection Course, Singapore General Hospital, Singapore -2004
- 9th International Congress of Oriental Society of Aesthetic Plastic Surgery, Bangkok, Thailand – 2004
- Special Training in Advances in Rhinoplasty, Chicago, Illinois, USA – 2005
Membership, Specialty Boards & Fellowship
- Certified General Surgeon
- Certified Plastic and Cosmetic Surgeon, Medical Council of Thailand
- Member, Medical Council of Thailand
- Member, Society of Plastic & Reconstructive Surgeons of Thailand
- Member, Society of Aesthetic Plastic Surgeons of Thailand
- Member, Royal College of Surgeons of Thailand
- Alumnus, Chulalongkorn University Plastic Surgeons (CUPS)
Work Experience – 11 Years
- Chief Plastic Surgeon for Cleft Lip & Palate, Thai Red Cross, Uthaithani, Sa Kaeo Province
- Central Chiangmai Memorial Hospital
- Professor, Division of Plastic & Reconstructive Surgery, Faculty of Medicine, Chiangmai University
- Yanhee International Hospital, 2002- present
---------------------------------------------------------------------------------------------------------------------

Dr. Juta Jansri
Educational Background
- Doctor of Medicine, Chulalongkorn University, Thailand, 1984
Specialty Training
- General Surgery, King Chulalongkorn Memorial Hospital, 1990
- Plastic Surgery, King Chulalongkorn Memorial Hospital, 1996
Membership, Specialty Boards & Fellowship
- Board of Plastic & Reconstructive Surgery
Work Experience – 23 Years
- Chiangrai Hospital
- Chiangmai Hospital
- Wachira Hospital
- Police Hospital
- Samutsakorn Hospital
- Yanhee International Hospital, 1998 – present
---------------------------------------------------------------------------------------------------------------------

Dr. Ornouma Srivanishvipat
Educational Background
- Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand, 1995
- Diploma in Clinical Science, Mahidol University, Thailand, 1998
Specialty Training
- Otolaryngology, Head & Neck Surgery, Ramathibodi Medical School, Mahidol University, Thailand, 2000
- Fellowship in Otolaryngology, Head & Neck Surgery, Ramathibodi Medical School, Mahidol University, Thailand, 2002
- Fellowship in Phonosurgery (Voice Surgery), Oregon Health & Science Medical University, Oregon, USA, 2003
Membership, Specialty Boards & Fellowship
- Specialty Board of the Royal College of Otolaryngology of Thailand

7.) About male to female gender reassignment
Who is a candidate for male to female gender reassignment?
Individuals suffering from gender identity disorder are candidates for gender reassignment surgery. If you are a male, who have lived your life as woman for several years then you are a candidate for a male to female sex change operation. It is a requirement that anyone interested in gender reassignment surgery must have passed a psychological test. Therefore, we kindly ask you to send us a certificate from a licensed psychologist to certify that you are a candidate for gender reassignment.
What happens?
Before surgery
After you have passed a psychological evaluation, you should also make the following preparations:
- Have a physical examination by a doctor. Provide us with the physical examination as well as your medical records from your General Practitioner.
- Stop taking hormones at least 2 weeks before the surgery.
- Stop smoking and drinking at least 2 weeks before surgery
- Eat only soft diet at least 2-3 days before the surgery to decrease the fiber in the intestine and to lessen excretion.
During the pre-surgery consultation, the surgeon will guide you through every step of the procedure. Here you can also discuss any additional procedures you may be interested in.
The surgery
The surgery takes approximately 4-8 hours. The procedure begins with the surgeon creating the vaginal cavity between rectum and the urethra by cutting some of the pelvic floor muscles to insert the neo-vagina. The surgeon then makes an incision to open the penis. The urethra is shortened and re-routed to emerge lower, just above the new vaginal opening. After the vaginal cavity is created, the surgeon cuts the scrotal skin to removes the testicles. The scrotal skin including the surrounding tissue is then used to construct the external genitalia such as labia minora and labia majora to create a neo-vagina similar to the biological female genitalia. The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches. The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.
After surgery
After the surgery, the patient will be under the surgeon’s close supervision and he will inform you of everything you need to know. The following post-operative care guidelines should be observed:
- The first 2-3 days the patient will be on a clear liquid diet and must avoid fibers and milky beverages that can induce defecation to avoid infection.
- At bedtime, use the wrap to lie between legs while sleeping to prevent the wound being pressed.
- Use a vaginal douche or sterile solution to clean the wound to prevent infection.
- The patient will be able to walk after 5-7 days
- Use a small size dilator and gradually increase in width and size, as you feel fit. You should dilate the neo-vagina 3-4 times a day. Dilation is needed everyday for 2-3 months then once a day after one year.
- 2 weeks after surgery return for a follow-up check and removal of stitches.
- You should not engage in sexual intercourse until at least 2 months after the surgery.
Disclaimer
Hygeia Healthcare helps you find medical treatment opportunities abroad. The role of Hygeia Healthcare is to act as a marketing agent for medical facilities and arrange medical treatment packages with the option to include a holiday package. The agreement to have surgery is strictly between the patient and the hospital. The final decision about whether the patient is a candidate for the chosen procedure(s) will be made by the surgeon during the pre-surgery evaluation. Hygeia Healthcare does not offer any medical advice and is in no way liable for the actions of third parties. You are aware of and acknowledge the role of Hygeia Healthcare as described. You further accept that the decision to have medical treatment abroad is your decision and that you are aware of any risks involved.