my name is Robin. A 42 year old recently post-op transsexual. My partner
and I have been together for 26 years, married for 23 years and closer
now more than ever. This is my story and opinions of my Thailand adventure
with Dr. Pichet, I hope they help you in your decisions.
I recently returned from Thailand where I
was under Dr. Pichet's care from August 13th 2003 through September
I had extensive surgery and I'm VERY happy
with the Dr. Pichet, his staff, and the results. I had SRS with
colon resection, full facial feminization (FFS) surgery, and breast
implants. The FFS surgery included full brow lift, upper and lower
eyelid, complete nose reshaping, lip augmentation, jaw reduction,
chin reduction, cheek implants, and adams apple shaving.
The man is wonderful! He really cares about
you as a person and not as an income source. He spent 4 hours going
over the surgery plan with me, and another hour or so doing an examination
in his clinic the day after I arrived. I then was taken to the hospital
where he had head x-rays, chest x-rays, and heart tests done to
confirm my health status. Once the tests were complete I was admitted
to the hospital into a fantastic private hospital suite. This room
was about 30 feet by 20 feet in size with a mini kitchen and with
a full view of the city. I had a nursing assistant assigned to me
(no extra cost) as a companion even thought my spouse came with
me. This wonderful girl stayed with my spouse while I was in surgery
and intensive care, even slept in the room with her to keep her
company. Once I was back in my room she took care of me as my personal
nurse, a service that just cannot be found in the USA.
With Dr. Pichet you pay a flat fee for his
services, including the hospital charges and all medical costs,
there are no other "charges" that you must pay for except
your hotel room once out of the hospital. He and his staff come
to you in your hotel as necessary twice a day, and then when your
ready provides a personnel taxi service to bring you to him wherever
he is, the hospital or the clinic. The doctor even provides your
meals, which you order through his staff each day (Thai food, KFC,
Pizza Hut, McDonalds etc). He will not accept money for this, he
tells you that he knows youre in a foreign land and need extra
care to feel at ease.
The doctor was concerned about the length
of my surgery, at 12.5 hours it was at that time his longest so
far, so at no additional expense to me he placed me in intensive
care for a day as a precaution before releasing me to my hospital
room. He even came back to the hospital at 3 AM and slept in a adjacent
hospital room one night when I had stomach pains to be sure I was
The surgeries all turned out perfect! I never
ran a fever and recovered quickly. Like I said above the doctor
pays for all medical care including medicines. He had me on constant
antibiotics for 2 weeks, IV meds while in the hospital and then
pill form once out. My SRS results are, in my mind, perfect. I have
over 6 inches in vaginal depth and I'm using a size 6 dilator (1
5/16") without problems. The doctor had me dilating the 4th
day after surgery and counseled me how important it was that I did
so at least twice a day if I wished to be sexually active. The basic
look of the neo-vagina is acceptable but will need a secondary cosmetic
surgery if I wish it to be perfect at some later point. I have great
sensation at the clitoris and feeling throughout the surgical area.
Ive since experienced vaginal sex with a man and enjoyed it immensely!
Dr. Pichets skill and the clinics staff support have allowed me
to become a complete woman at last.
The breast implants are even and look very
good. The bruising was very bad initially but has healed quickly.
The doctor does NOT place the implants below the muscle so if you
wish that procedure you should look elsewhere.
Things to think about:
The internet reviews I've read suggests Doctor
Pichet does not get great vaginal depth with a simple penile skin
inversion, and he does not do secondary skin graphs. OPINION: Unless
you are of VERY large length in your penis you will not get great
depth with a simple inversion technique from any doctor from what
I've learned. If a depth of more than 2.5 inches or so is desired
he highly suggests sigmoid colon resection surgery, but cautions
you quite hard on the additional risks before accepting your decision
to go forward. Dr. Pichet does not perform the colon resection alone,
but brings in a general surgeon to harvest the colon section and
assist him in its attachment.
If you are a smoker or heavy drinker be ready
to quit these activities before and while under his care. We all
know these activities are bad for the body and know we should not
do them after major surgery. If you are overweight than loose the
weight before contacting the doctor, he will want full body pictures
to evaluate your medical readiness to go through these surgeries.
Common sense suggests you know these things, but the doctor gets
girls all of the time wanting surgery while not following these
simple medical requirements.
Be ready for an adventure in a foreign country,
this is not the USA, as almost everything will be excitingly different.
Be prepared to talk with the doctor over and over as necessary to
get your wishes clear. He speaks very good English but some concepts
don't translate well. Remember he lives in Thailand and his primary
language is Thai. Keep communicating until you and he are talking
the same thing. Youre contacting him for the price savings and
because of recommendations such as this one, accept the challenges
that go with your decision.
Learn about the risk of blood clots. The
surgery, hospital stay, and primarily the long plane flights add
up to a significant risk of blood clotting. On my return flight
I did not get up and move around enough and ended up with a pulmonary
embolism, a serious blood clot in the lungs. This put me back in
the hospital for 3 days and is a very serious life threatening condition.
I can not stress enough that you should consult with your home doctor
and doctor Pichet on this issue! There are things you and your doctors
can do to greatly reduce the risks.
Do's and don'ts
Don't expect Dr. Pichet to do anything that
a USA doctor will not. Don't expect that the doctor is God, each
body will heal in its own way. Plastic surgery is an art first and
a science second. You very well may get an infection or heal slowly
with no fault of the doctors. Don't expect that there are no risks
in getting these surgeries, there ARE RISKS. Worst case is you could
die on the table or you may not get the final results you are looking
for in the end.
Do contact many doctors to get their opinion
on what is possible and best for you. I contacted 7 doctors, 5 in
Thailand and 2 in the US before continuing. Do contact the doctors
previous patients, I contacted 6 of Dr Pichet's previous patients
before deciding I would trust this man with my life and my dreams.
Any good doctor will get you the information necessary to contact
his previous patients, if not, go elsewhere.
This doctor in an honorable and caring man
first, a very good plastic surgeon second. I highly recommend him
and his staff as a possible candidate for you. Thailand is an adventure
that is not to be missed, I can see no reason to pay the extreme
prices for a US doctor and miss the adventure of Thailand as well.
If you have more questions or wish a more
detailed and candid review of Dr. Pichet please do not hesitate
to contact me at firstname.lastname@example.org.