To Dr. Suporn For Transsexual SRS : Planning and Information.
So you feel you are ready to get Male-to-Female Transsexual Sex Reassignment Surgery (SRS), and are considering Dr. Suporn for your surgeon. This assumes you have received an approval letter first from a Gender Therapist or a Gender Clinic Board for your hormones and have been on them for at least a year. Also this assumes you have adapted well and are living and working full time in your new gender role as a woman. Assuming this is all true, be sure that you have a copy of that letter that was written for the endocrinologist approving your hormones (HRT Approval Letter) as Dr. Suporn will want to see that letter if available.
If you have not yet looked at his website and want to learn more first then the internet website address of Dr. Suporn's Clinic is : http://www.supornclinic.com . There you will find out a lot about his surgical methods and many other details not included in this document.
that the above items have been met you are ready to approach
(or have approached) the Gender Therapist or the Gender Clinic
Board about a letter for SRS. If you have met the International
Standards of Care and have gotten your Gender Therapist or Gender
Clinic Board to agree to write you a letter or letters of approval
for SRS be aware that Dr. Suporn requires you to carry an original
copy with you to the meeting you have with him on the day before
SRS when first meeting him. So the Gender Therapist or Gender
Clinic Board needs to know this when they write the letter that
they can not just send it to him directly. If they do insist
on sending one copy directly insist they provide you a copy
as well. This is acceptable. But before they send that letter
of approval you might wish to contact Dr. Suporn's Office or
Clinic first. The email contact for this is Sophie from Dr.
Suporns staff. She handles general inquiries and patient pre-op
admin issues her Email is : email@example.com
When you indicate that you are contacting her about possible
SRS with Dr. Suporn, she will send you back a rather long reply
Email with a patient medical history file for you to fill in.
This is a necessity to fill in accurately, and must be sent
back filled out entirely in order to proceed. You can send a
scanned copy of the hrt approval letter attached to the email
which you have filled in your medical history file on if you
have a scanned copy. When you have this sent in to Sophie, then
you are ready to work on getting an extra copy of the SRS letter
sent in. A scanned copy is acceptable. But if you do send it
as a scan save it to a JPG or GIF format which they can read
or print out for your patient file at the clinic. If the Gender
Therapist or the Gender Clinic want to do a mailing of a copy
of the SRS approval letter via International Postal Service
delivery (snail mail) the mailing address to send it to is :
If the Gender Clinic or Gender Therapist snail mails it via International Postal Service .. be aware it may take 3 to 4 weeks to arrive at Dr Suporns Clinic in Thailand so scanning a copy and sending that copy via email attach to Sophie will speed things up immensely for you.
Be aware also that Email replies may take up to 3 days from Sophie due to sheer volume of incoming mail there at the clinic. Also for example .. if your email is sent on a Friday from the USA it wont be read till Sunday as Sunday is Monday in Thailand. They are about 12 hours ahead of the USA over in Thailand. So over the weekend when they are closed no mail is read or replied to till Monday morning their time. So if your email is received there in her incoming mail on a Monday AM you might expect a reply by late Wednesday night or Thursday night. Thailand's time zone is GMT (Greenwich Mean Time) +7hours, and does not use Daylight Saving. This puts the Clinic 6-7 hours ahead of Europe, 12-17 hours ahead of the USA, and 5 hours behind New Zealand.
there is a Fax number to reach the Dr. Suporn Clinic. This Fax
transfer number is as follows :
As of the writing of this document in November of 2007 The price for SRS with Dr. Suporn is 495,000 Thai Baht. Using the Currency Converter Program Online one can get conversion rates at the Current Rates for the day to get cost in your own countries currency.
I should mention here that Dr. Suporn has a weight limit of 205 Pounds max weight for SRS. So if you weigh more than this you will want to get the weight down. On this matter there is one detail of good news .. on average you have about 6 months of wait from scheduling for SRS to the day you have to be that weight in his office. So it averages that you have time to lose slowly as long as you do in fact get the weight down.
Once you have submitted your medical information and your scans or a duplicate of letters to the clinic and they have acknowledged receipt, you then can ask Sophie about scheduling SRS if the letters sent in are accepted by Dr. Suporn.
When ready to schedule through Sophie for your SRS you should consider the following guidelines .. you will be staying in the hospital for a week (7 days). After that you will need to stay for a minimum of three weeks to four weeks at the hotel you choose to stay at. This is to ensure you have fully recovered from your surgery before returning home. You will be able to after that time feel pretty confident that any risk of complication arising has been minimized. Dr. Suporn's record of freedom from post-operative complications in his patients is second-to-none as a result of the special care and attention that he and his staff provide even while you are at the motel. I'll cover motel stays more in a later segment below.
If you are a person who smokes you MUST quit smoking before going to Dr. Suporn for SRS. A person who smokes heals slower. Having your body free of nicotine addiction is a requirement of the Clinic for SRS. You might want to consider taking a multivitamin and espescially optimizing Vitamin C intake, or eating a lot of citrus fruit to encourage ideal tissue healing. Speak with your endocrinologist or the doctor who prescribes your hormones about 3 weeks to a month before your SRS to inform him or her that you are about to undergo your SRS surgery, and that you are about to cease taking your medications, such as Estrogen and or Progesterone, and any Anti-Androgens. If you take Aspirin or Motrin you need to cease these as well, because Asprin based products are blood thinners. You need to discuss with the endocrinologist your post-surgical hormone regimen. A after return home physical is recommended for post-surgical checkup by your doctor as well. So scheduling this as well is recommended. Also if you are HIV positive Dr. Suporn will not accept you as a patient so you might want to check that detail before even getting around to submitting your deposit or your full cost for SRS to the clinic. Be aware that Dr. Suporn will do an HIV/AIDS test prior to admitting a patient in the hospital. If the rapid test finds a positive it will cause your scheduled SRS to be cancelled and will result in a partial loss of your submitted SRS cost as the hospital operating theatre was already scheduled for you for the day of SRS and the fee cant be refunded that late in the course of events.
(I wish to mention here that a good portion of the information below is taken from Sophie's words in Emails to me about being a patient with the Clinic myself.) Dr. Suporn wishes his SRS patients to arrive 2 calendar days before their admission date to hospital. This allows you time to rest and relax after your plane trip to Thailand. Also you will have some essential medical tests, and a pre-operative consultation with Dr. Suporn. during those two days. On the night before you are scheduled for SRS you will be admitted to the hospital. The following day you will have SRS and then spend 7 more nights in the hospital totaling 8 nights. There is a special Deluxe Suite in the hospital used for Dr. Suporn's patients. I'll cover more about After SRS in the section refering to in the hotel later on. You need to be aware that if you wish to schedule SRS on a Monday this will mean you need to arrive in Thailand on Thursday by Thailand time as you will need to meet for a pre-Operative consult with Dr. Suporn on Friday afternoon, since there is no one at the clinic on the weekends. However in this situation you will be admitted to the hospital on Sunday evening. Sophie sent me a day schedule to help out with figuring how your schedule would go. I am including it here below :
ideal schedule, based on Thailand time, would be:
Sophie has told me that the Dr. Suporn clinic makes it clear to any prospective patient that:
1. They can not accept a reservation for a date under any circumstances until the patient profile has been fully completed and returned to enable the Clinic to be sure of your eligibility to undergo surgery with Dr Suporn.
2. Do not reserve a date for an operation unless you are sure you will be able to pay your deposit within 30 calendar days of requesting that date.
If you are requesting a scheduling date for SRS, ensure that
you will be able to meet
If you wish to undergo an operation in the very near future,
because only few dates
Knowing all the above if you've met the requirements then ask Sophie about days that are available for scheduling a SRS operation for you. After she sends you a list of days available (normally at least 6 months away from present date) you can select a date andor (optional dates) from her list of open days. Then send Sophie a Email to tell her your selections. As soon as she receives that email, if any of the dates you chose is available, she will provisionally reserve it for you and let you know by a reply Email that she has done so. Once she has scheduled a date for your operation, the clinic will hold it provisionally for you for a period of 30 days to allow for your payment of the deposit. During that period it will not be offered to any other patient. If the clinic has not received notification that you have sent the deposit within the 30 days of scheduling the operation, the date you have chosen will freely be made available to other patients without further notification. However, the deposit payment period can be extended beyond 30 days by discussion between Clinic and patient. Payment must be received to confirm a surgery no later than 60 days before the date of the operation. All dates that are not scheduled to any patient are freely available on a “first pay first reserved” basis within 60 days of the SRS date. Once your deposit has been paid, no other patient can choose the date reserved for you unless you elect to cancel or postpone your surgery. You may of course pay them more than the deposit if you wish, and may choose to pay in full. This will obviously be of some benefit to some patients in that only one set of bank charges will therefore be payable. Patients who schedule late (close to their chosen date) might be wise to pay in full to avoid additional bank charges in close succession. Final Payment: Final payment covering the price of all surgery must be received by the Clinic no later than 30 days before the date of surgery. In the event that any patient does not meet this criterion, they reserve the right to reschedule the otherwise reserved surgery day to another patient to cover the eventuality that the Clinic has to pay for operating theatre cancellation costs. No operation will proceed unless the full price of the operation has been paid in full. On request, an alternative schedule for payments or payment terms may be made by prior agreement by the Clinic.
Cancellation and or Rescheduling
by Clinic : After a date has been agreed, the Clinic reserves
the right to make minor adjustments to the final surgery date
to meet local circumstances. No such changes made will in any
way affect any flight reservations already made by the patient.
Cancellation with more than 60 days notice: Full refund of all
Rescheduling with greater than 60 days notice. No effect; all
payments made are transferred to preferred reschedule date.
In the event that a patient has been found on examination that she is suffering from an undisclosed medical or psychological complaint that gives rise to the need for cancellation, and about which she could reasonably have been aware, the patient will be deemed to have cancelled the surgery on her own volition.
In personal circumstances of a proven extremely urgent nature, the Clinic may give individual consideration to applying a different rate. Late illness prior to the operation accompanied by a doctor’s certificate of illness would not attract any late-cancellation or reschedule penalty.
Please do not consider sending any money until both you and the Clinic Staff have agreed upon a date for your SRS operation.
When you have set a date with Sophie via Email for SRS with Dr. Suporn then you are ready for payment and I urge that you read all of the following very carefully before sending any money to the clinic. Sophie makes it clear why to each patient but this is what she will tell you at that time :
The Clinic normally only accepts payment by inter-bank transfer of funds. They do not accept international cashier's cheques (bank drafts) or credit cards, nor do they operate a credit payment scheme. They can accept cash payment in Chonburi, but patients considering this are advised to familiarize themselves with the regulations concerning transfer of cash amounts into and out of another country. Inter-bank transfer is the safest and most reliable method (for both parties) to transfer funds overseas to other countries.
IMPORTANT! Please read this paragraph very carefully because
it can cost you a lot of money if you ignore this advice. If
you are able to pay with a generally recognized strong currency
(for example, US dollars, Pounds Sterling, Euros, Canadian Dollars,
Australian dollars etc) the Clinic strongly advises that generally
the most beneficial way for you to transfer funds is by insisting
your bank sends that currency to Thailand (NOT Thai Baht). Please
ask your bank to do that because it will ensure the lowest bank
costs involved, and give you a much more favourable exchange
rate. If you send Thai Baht from your own bank, it could cost
you a lot more money than necessary. So please be very careful
to check that the right currency will be sent. Sophie very strongly
recommends you read this
more on this. There you will find the absolute exchange rate
that their bank in Thailand will give you at any given time.
Check the rates for your own preferred currency under the column
marked “Bank Buying Rates.... TT”. To calculate an approximate
price in your local currency, divide the quoted price of your
operation in Baht by the appropriate rate given.
Below are the bank details to send the deposit to schedule surgery (it is confirmed when they additionally receive the complete flight itinerary by e-mail, fax, or mail/post). The information given here is sufficient to transfer money from any bank in the world to their account. If your bank asks for further information, you can be almost sure that the answer to their question is contained within the following guidelines.
transfer funds from your bank to their bank in Thailand by interbank
transfer you will need these Bank Account details.
Bank name and address:
Bank branch tel: +66 38 285839 and 285837
Bank (Only USA citizens)
BANK PUBLIC CO., LTD
Routing Number 026008691
For further Information only, the Bangkok Bank’s Registered Head Office is:
Bank Public Company Ltd Head Office. Thailand
Nationwide Building Society (UK) For ONLY those patients sending funds by Nationwide Building Society in the U.K.: you must inform the Clinic by e-mail, fax, or mail/post when you send the money. Nationwide Building Society transfers rarely come with the name of the sender of funds.
2. If the name on the account is different from the name you normally use when contacting the Clinic, it is essential that you advise the Clinic in advance what name will be on the sending account, to help them to link the payment to you.
3. Please note the account name is “Pakatorn Watanyusakul”. Please DO NOT send the funds to “The Suporn Clinic” or any similar name, or the transfer will be rejected, but you will incur bank charges for the incorrect transaction. Please see Frequently Asked Question #7 and #8 further below in the section labeled "SOME FAQs ON BANK WIRES" for an explanation.
Bank Charges: Bank service charges will be levied by the sender bank, intermediary bank(s), and the recipient bank before the funds are deposited to The Clinics account in Thailand. They have no control over these charges, but please be aware that as a result, the amount deposited is usually something less than the amount sent. They will advise you of the amount which has been deposited into their account in Thailand. Please note that a patient is responsible for absorbing the cost of all bank charges incurred throughout all transactions.
Bank account holder name and address:
Confirmation of Receipt: Sophie will write and advise you when the funds are received into their account, but please allow 10 days after you have sent the money before “chasing” her via Email for an acknowledgement of receipt. Please see Frequently Asked Question #4 below for more about this.
SOME FAQs ON BANK WIRES
There is sufficient information in these bank payment guidelines to enable anyone to send the Clinic a payment. There is no need for your bank to ask for any additional information from the Clinic. This is a tried and tested system which has never failed with over 1500 patients. However, the Clinic does understand that you might have some further concerns:
Where can I do inter-bank transfers?
Are Inter-bank transfers safe? Can my funds ever be lost?
My bank says that inter-bank transfers are instantaneous. Why
does it take 4 to 10 days for you to receive the funds?
I sent the funds already, but there has been no acknowledgement
that the funds were received.
It has been over 10 days, and still no acknowledgement that
the funds were received.
My bank said that I would pay all service charges. Why were
there additional deductions when you received the funds?
Why is the account beneficiary apparently a private bank account
name, and not “The Suporn Clinic”?
How do I know that I am not sending money to a “scam” organization?
My bank has asked for your bank account’s IBAN Code. What is
your IBAN Code?
Patient pre-operative care : Patients who have committed (by paying a deposit) to undertake surgery, should use the following address prior to arriving in Thailand for surgery with the Clinic : firstname.lastname@example.org
Ok .. now that the major part of the information from Sophie at the Suporn Clinic has been listed we go on to discuss airplane flights to Thailand. The fact that Dr. Suporn is in Thailand means that unless you live in that area of the world you will most definitely need an airplane to get there. Here again Sophie has given guidance on this. Plan your journey from your own location, to Bangkok airport. They will collect you from either Bangkok Suvarnabhumi International Airport or Bangkok Don Muang airport (as appropriate to your flight), and bring you to Chonburi. The journey time from Bangkok airport is about one hour. Alternatively if you wish, you can travel earlier to enjoy some sight seeing prior to your operation, and they will collect you from your hotel in Bangkok.
may wish to choose the "Mercure Hotel" in Chonburi
for your pre and post operative stay in Chonburi. I have contacted
the Mercure Hotel General Manager a Mr. Arnaud Rouchon in regard
to information on a stay with their establishment in conjunction
with a stay in the hospital for Sex Reassignment Surgery. He
tells me there are special rates for patients of Dr. Suporn.
I will quote here some of the details his Very Informative Email
to me revealed. First their contact information including Mr.
Arnaud Rouchon's contact Email.
Mercure Hotel is an international 3 star standard, located at
only 150m from Dr Suporn Clinic. Most of their staff speak English
and all managers can communicate in English as they are trained
to answer to the needs of any international customers. They
offer in the Hotel 2 Food Outlets i.e. an international restaurant
with French, Italian, Thai, German, American and Japanese cooking.
The second restaurant offers high quality Chinese food from
Canton Province. You can find a big variety of cooking with
different types of ingredients such as Beef, Pork, Chicken,
and even Vegetarian. They can arrange any special dishes you
may require, as their Executive Chef is used to international
food. They can create a menu or adapt foods for any special
diet or wishes.
While their Website prices are what is called the rack rate and the best promotion of the day for general customers, be aware that they offer other discounted rates not mentionned on the Website which are reserved only for the guests of Doctor Suporn's Clinic. They are now working on their new 2008 rates.
information purposes only, in 2007 the Superior Room has been
: 1400 Thai Baht per night with American Breakfast, and 32000
Thai Baht for American Breakfast for 30 nights consecutly.
your stay at the Hospital you can decide to keep the Hotel room
occupied if you have a guest. Or paid for with no one in it.
In this case they will need to charge you the cost of the 7
nights because the room can not be rented to another customer.
Or alternatively (better deal here) you can check out from the
room and their team of staff can take care to leave your luggage
that you do not need with you at the hospital .. at the safety
luggages room which is at the Reception Desk. When you are returning
from the hospital the Clinic Staff or Hospital Staff can be
asked to call the Hotel and then the Hotel Staff will put all
your luggage in your new room already by the time you arrive
at the Hotel.
Post-operatively (even in your hotel) you will receive daily nursing visits and medication as necessary, and will undergo 2 or 3 post-hospital weekly check-ups with Dr. Suporn. Although preferable, it is not essential that you stay in Thailand any longer than 30 days total. If you prefer to stay longer than 30 days a visa would be required in advance of travel.
After returning home from Thailand where you have undergone Sex Reassignment Surgery with Dr. Suporn, if you require patient post-operative care or support from the Clinic, please use the following Email contact : email@example.com
Due to the number of enquiries the Dr. Suporn Clinic receives, and the difficulty in maintaining a service that corresponds with the time zones of their world-wide patient clientele, they do not generally take messages by telephone. Post-operative patients, however, are given some contact telephone numbers on departure to use for any follow-up care they may require.
What you will learn in the hospital
After you have undergone SRS and awake in your hospital bed you will not be getting up much, and will most likely wish to sleep more than be awake. This is actually a good thing at first cause it will speed your healing the more you sleep. There will come a point where you will not wish to sleep. So during these times you will desire to have things to read or watch or listen to. Or, if you have a laptop computer you may desire to use that to amuse yourself. You may not wish to bring a novel as you will be in and out of consciousness at least during the first few days and may not find a novel appealing as you may not be able to concentrate on it long enough to enjoy it. However a magazine or two with shorter articles of interest in it may just fit the awake time for you.
During this time you will be visited by nurses often and Dr. Suporn will see you daily. If you are in excessive pain the nurses and Dr. Suporn will ask you to tell them, so they can adjust your pain medicine. Don't try to be over brave if you feel excessive pain tell them as it may get worse before it gets better.
To speed your healing you will want to drink as much water as you can. If your water container is empty ask a nurse to refill it for you. They will be glad to get you more water or perhaps even juice.
You will feel for a while like you have to urinate constantly but the reality is that your bladder will be draining via catheter into a collection bag. So you need not be overly concerned with the feeling of a full bladder. The nurses will be sure to change or drain your drainage bag often enough so you will be fine.
At one point you will feel the need to use the toilet to empty your bowels, but will find that you can not go. The nurses will tell you not to try to force it, as you could injure yourself by trying to force. You will have this problem because the packing in your neo-vagina is pressing against the rectum wall. Eventually a day or so later you will find that you will indeed empty your bowels.
When you do eventually manage to empty your bowels the nurse who is in attendance to you will instruct you on something that many newly Post-Op ladies do not know about. You will be told to be sure you wipe yourself from front to back rather than the other direction. The reason for this is to keep fecal matter as far from the neo-vagina as possible. This is imparitive as should any fecal matter reach the neo-vagina it could cause an infection.
Eventually the day comes where your packing is removed and you are taught by either Dr. Suporn or one of the nurses how to dialate. This will be painful at first for most, but it is necessary. You will be instructed on properly lubricating for this. The first time they may do the dialation for you. But you should watch closely as you will be doing it many times a day from then on. They will instruct you on the schedule to use for dialating. You will have to adhere as closely as possible to the dialating schedule if you want to maintain your depth, and, I believe most of you will indeed want to maintain the depth to your neo-vagina. There is a interesting thing to note here. While in the beginning it is painful or uncomfortable, later it is pleasurable to many after enough time has passed and enough healing has occurred.
Things to buy to prepare for the trip
When you are getting ready for the trip to Thailand you need to consider the things to buy that will be necessary to either have with you in Thailand or that you will need to store at home for your return from Thailand.
Things to Bring
1. For During Trip
You will want an inflatable or foam donut for the trip home
on the plane. Sitting without one for long term like on a plane
ride would be almost impossible without one. Carrying a spare
is good advice as well in case first one leaks in cases of the
1e.) While you are in the hotel after you are released from the hospital you may desire to take short walks to see some of the local shops and purchase small gifts for friends or family. Or you may desire to buy some local clothing to take home with you. So for these things you will wish to bring extra money with you to Thailand.
1f.) You will want to bring with you to Thailand your hormones and other medications that you normally take. You may be ordered to begin taking these at a point after you are in the motel or when recommended by both your endocrinologist and by Dr. Suporn. For these you will want to pre check with your local airport as to rules regarding medications you will need as to if you should store in cargo baggage or in your carry on.
1g.) You will want to purchase boxes of thin Maxi Pads to protect your underwear and clothes till you heal. You will actually need between 4 and 6 Maxi Pads per day once you check out of the hospital.
2. For During and After Trip
2a.) You will need flushable moist wipe towelettes to clean yourself both before dilating and after going to the bathroom. Until your new genitals begin to heal you most likely will spray all over your thighs when you urinate. This is when you will be glad for having purchased vast quantities of moist wipe towelettes. Baby wipes work well for this. A thing to be careful of is that you do not want to buy towelettes which contain alcohol. Alcohol based towelettes would dry your skin out.
2b.) For dilating you will need a lubricant. The best lubricant is called 'WET Original Gel.' If you desire a more expensive lubricant there is always 'KY Jelly' or 'Surgilube.' Surgilube however can cause staining. So the best option here which is non staining and latex-friendly not to mention crystal clear is the WET Original Gel. There is a website for this product : http://www.wetlubes.com
2c.) You will also need to purchase Panty Liners to protect your underwear for once you are no longer in need the maxi pads.
3. For Return Home After Trip
3a.) If you live alone, and or have no one to shop for you after you return, then begin to stock up on foods that are nutritious, and which will not spoil while you are in Thailand, like canned meats, canned veggies, canned fruits and frozen foods. You may not be brave enough or feel up to a trip to the supermarket for a while after you get home. Whereas you may have had no problem with lifting heavy bags of groceries prior to your trip to Thailand, you will find that until you are healed, the weight limit for lifting will result in you most likely having twice the number of bags you used to have to carry in. This is because you will have to have groceries spread out through twice the number of bags to have them light enough for the weight limit, resulting in twice the trips to the car to bring the groceries in when you get home. This is something that many forget to consider beforehand. One should remember that after getting home from Thailand it is quite possible that you will be tired out easy from simple tasks. As you heal this will in time go away and you will find your normal energy return to you.
3b.) You will need to get 2 to 3 tubes of Neosporin, Triple Antibiotic, A&D Ointment, or similar, which you will apply to suture areas while you are healing. You will be supplied an antibiotic ointment in Thailand but when you return home you will need the 2 to 3 tubes more.
3c.) You will want to buy Anti-Bacterial Soap for use in cleaning your stents and washing your hands before you begin a dilating session. However for purposes of washing hands almost any soap should do.
3d.) medical latex gloves and Q-tips for use in spreading the Anti- Bacterial Ointment on your sutures. This you will be thankful for later when you are home as it will help to keep your hands clean.
Information Sources this document was compiled from
majority of the information used to write this document came
from 2 major sources in my dealings with them online :
Some details used in this document regarding things to obtain prior to the trip and for use during and after were learned from Dr. Marcie Bowers Website : http://www.marcibowers.com/grs/surgery.html Details that were listed there which are also pertinent to a trip to Dr. Suporn were reworded for the context of this document. However since the research into this document did contain details for planning mentioned on her website I give credit where credit is due.