About 70,000 baht (about us $ 1950) price, with male genitalia can be recycled as female genitalia, Thep said he did a case of this kind of surgery. His Watergate hospital is a private clinic in Bangkok cheap clothing wholesale district, the surgeon said, by eliminating general anesthesia, anesthesiologist and hospital standard operating room costs, he can compress costs 450,000 baht. Thep Vechavisit doctor's goal is to make Thailand the cheapest sex reset operation
"Remember when the medical training, said the teacher would say, physicians need to provide quality service at a reasonable price should not always want to let patients spend a lot of money. This sentence is still etched in my mind, "Thep sat in the clinic, while drinking a can of Pepsi said. This office he just put a table and some chairs.
Transgender emergence of modern medicine is new, ethical and legal issues. People who are transgender needs qualified hospitals and doctors before undergoing a surgery to go through rigorous screening and psychological testing. However in December 2013, one claims that are attracted to the water clinic transgender Taiwan patients Angela blog said Thep operation "without a psychiatric diagnosis, without medical examination reports."
For their crude approach, Thep said with great confidence, coming from all over Asia Thailand degeneration patients attending an increasing number, for this segment of the population, they provide medical services more affordable. With the growing social discrimination against transgender desalination, more people want to change their gender, it also created a demand for gender identity service.
Thep said, as Western Europe and North America, Governments and insurance companies recognised the demand for payment of this kind of service, Asia has fallen in others. For him more and more from China, Cambodia, Viet Nam, Myanmar, and Malaysia, and India and Nepal is a major negative factor for the patients. "Social tolerance for these people up, especially in China," in September, on a Friday night after completing a male female surgery, he said: "in the past, doctors simply can't open the clinic-if you do this kind of surgery in China, will be drowned by the others ' spittle. But now I feel the world has changed. Acceptance of transgender people is much higher than in the past. ”
Thailand now in high-end hospital as a big selling point, the hospital is equipped with marble floors, crystal chandeliers, flowers in full bloom throughout the Hall, Thep clinic is by contrast extremely poor. In front of stacked boxes of surgical materials at the front desk, waiting room ceiling, fluorescent lines hang down loose.
63, Dr Thep was originally a ear, nose and throat specialty, he often worked 12-14 hours a day, do a dozen surgeries in one breath, he usually is a sex-change operation in the end. He said his nurses did not like him to do this surgery, sex reassignment surgery a few hours, he could have done eight or nine implants breast augmentation surgery, breezed to earn 500,000 baht.
"I always wanted to put off surgery, because they think that it is worthwhile," Thep said, "they always say, ' doctor, how can you be so stupid! ' And I said, ' that's not true, you should be aware, some people need surgery, you can't put them away. ’”
More than 20 years ago, his first attempt at sex reassignment surgery, was supposed to be fixing other people screw up a case, after which he feels he can provide a better service. Thep has now made more than 1000 cases of sex reassignment surgery, he is used by participating in United Kingdom Peter Phillips, the urinary tract (Peter Philip, now dead) opened the workshop learned techniques in the last century, Philip doctor had sex reassignment surgery at the Charing Cross Hospital in London.
"You have to find a safe and effective technique, and his ability to get enough done," Thep is on the third floor of a reassignment surgery in the operating room, operating room, stacked with boxes of surgical equipment and supplies, each operation requires four or five nurses assisting. Thep Vechavisit pratunam in Bangkok Hospital operating room as sex reassignment surgery
Thep wearing surgical magnifying glasses, wearing green surgical robe, barefoot wearing flip flops, stretch out their legs in patients, he skillfully cut the organ, with a slender like electrode Burns bleeding. The surgery patients from Australia, in the ketamine, propofol under the synergy of these anesthetic and morphine, she slept. In exactly two hours after the operation ended. When you reach the end, groggy patient asked time and want to learn operation progress.
Thep said, she will be in the next nine people spent the night in the recovery room, was discharged from hospital the next morning, under the three-story staircase also needs its own. Next week, she had to come back and play a shot of antibiotics.
"Luxury hospitals, you can't do that," Thep said. He listed several ways to drive down costs--from the non-mechanical operating table, deprecated special lamp switch to ordinary lamps, and hung on the wall of that purchased 15 years ago, price is only 500 baht (about $ 14) wall clock.
In terms of post-operative care, patients need to be regularly extended their new recycling vulva, to avoid atrophy healing. Thep said Thailand's Medical Center for one of the expansion fee of 15,000 baht, and he provides a cheaper alternative: a stick.
"I can be free to patients," he said. The doctor stressed that this is not opportunistic. It's a matter of fairness.
"Whether you're poor or rich, everybody is equal," he said.
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