Thailand's reputation as a global hub for gender reassignment surgery continues to grow as it introduces an innovative technique for male-to-female gender reassignment surgery, a first of its kind in the world. The country has long been renowned for its expertise in gender-affirming procedures, attracting both Thai nationals and international patients seeking gender transition surgeries. 

The groundbreaking procedure, developed by surgeons at Chulalongkorn Hospital, Thai Red Cross Society, involves the use of peritoneum, a lining found in the abdominal cavity, to create a natural vaginal lining during male-to-female gender reassignment surgery. This innovative technique represents a significant advancement in the field and has the potential to revolutionize gender-affirming surgeries. 

Asst. Prof. Dr. Poonpissamai Suwajo, a plastic surgery specialist at Chulalongkorn Hospital and the inventor of this pioneering procedure, explained the surgery in detail. Typically, male-to-female gender reassignment surgery involves various external genital procedures to create female genitalia, such as the clitoris, outer labia, inner labia, and the formation of a urethral opening to resemble a woman's anatomy. Dr. Poonpissamai likened the process to decorating the entrance of a home to be both beautiful and natural. 

Traditional gender reassignment surgery techniques can be broadly categorized into two types: those with tissue lining devoid of natural mucosa and those with natural mucous membranes. 

Tissue Lining Without Natural Mucosa: 

Advantages: 

• Safe, as it avoids the need for surgery inside the vagina. 

• Allows for the use and decoration of the patient's original organs. 

Limitations: 

• Requires the use of lubricating gel for sexual intercourse. 

• Regular dilation of the vagina is necessary to prevent contraction. 

Tissue Lining With Natural Mucosa: 

Advantages: 

• Eliminates the need for lubricating gel during sexual intercourse. 

• Suitable for patients with limited original tissue. 

• Addresses vaginal narrowing issues. 

Limitations: 

• More complex and carries higher risks, as it involves connecting intestines within the abdominal cavity. 

• Unsuitable for patients with certain intestinal conditions. 

The groundbreaking technique, known as peritoneal lining, represents a major advancement in gender reassignment surgery. Using peritoneum tissue attached to a blood vessel terminal, surgeons can create a functional and natural vaginal lining. This procedure offers several advantages: 

Advantages of Peritoneal Lining: 

• Natural mucus production, reducing the need for lubricating gel during sexual intercourse. 

• Aesthetic appearance with a pink, moisturized lining. 

• The peritoneal cells have the potential to develop into cells resembling those found in a natural vagina. 

While the peritoneal lining technique is considered a significant leap forward in gender-affirming surgery, it is essential that patients seeking gender reassignment undergo thorough physical and psychological assessments to ensure readiness for the procedure. 

Chulalongkorn Hospital's plastic surgery clinic is at the forefront of this groundbreaking technique, offering consultations for those interested in male-to-female gender reassignment surgery. With this pioneering advancement, Thailand further solidifies its reputation as a global leader in gender-affirming procedures. 

For Consultations and Further Information: 

If you are interested in learning more about this groundbreaking male-to-female gender reassignment surgery technique or wish to seek consultation, please contact the Plastic Surgery Clinic at Chulalongkorn Hospital. The clinic is available to assist you on: 

Opening Hours: 

Mondays and Wednesdays 

9:00 AM - 12:00 PM 

Contact Information: 

Telephone: (02) 256 5328 

Source: [Chulalongkorn Hospital] https://chulalongkornhospital.go.th/kcmh/แปลงเพศจากชายเป็นหญิง/