⌵ Achieving Authentic Sensation in Gender-Affirming Surgery
In male-to-female (MTF) gender-affirming surgery, the preservation of erogenous sensation is paramount for both sexual function and personal identity. Dr. Chettasak Tulayaphanich (formerly known as Dr. Chettawut Tulayaphanich) has meticulously designed his Non-Penile Inversion (NPI) technique to maintain and reconstruct the intricate sensory pathways essential for a fulfilling post-operative experience.
Anatomical Precision: Preserving the Pudendal Nerve Branches
Central to Dr. Chettasak's approach is the careful preservation of the pudendal nerve, particularly its dorsal branches, which are responsible for transmitting sensory information from the genitalia to the brain. By safeguarding these nerves, the NPI technique ensures that the neoclitoris and surrounding structures retain their sensitivity, facilitating the potential for orgasm and enhancing overall sexual well-being.
Comprehensive Sensory Reconstruction
Beyond the neoclitoris, Dr. Chettasak's technique emphasizes the preservation and reconstruction of additional sensory-rich areas:
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Clitoral Hood and Frenulum: Utilizing the prepuce to form a protective and sensitive clitoral hood.
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Inner Labia and Posterior Fourchette: Crafted from neurovascularized tissue to maintain tactile responsiveness.
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Vulvar Vestibule: Constructed to emulate the natural sensitivity of the vulvar region.
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Vaginal Wall Adjacent to the Prostate (G-spot Area): Carefully designed to preserve the erogenous potential associated with the G-spot.
This holistic approach recognizes the complexity of female sexual anatomy and aims to replicate the multifaceted nature of erogenous sensation.
Best Vaginoplasty Techniques for You
1. Scrotal Skin Graft Vaginoplasty
• Key Features: Offers a natural appearance with light pink inner labia and a functional vaginal depth of 6 inches.
• Considerations: Requires lubricants during intimacy and has no self-lubrication.
2. Laparoscopic Colon Vaginoplasty
• Key Features: Provides a deeper vaginal canal (up to 7.5 inches) with natural self-lubrication from colon tissue.
• Considerations: Longer surgery and recovery time; slightly higher cost.
3. Laparoscopic Peritoneal Vaginoplasty (PPV)
• Key Features: Creates a naturally moist vaginal environment with a depth of 6–7 inches.
• Considerations: Requires daily dilation and is more expensive due to specialized techniques.
Choosing the Right Technique
Your choice depends on your priorities: budget, depth and durability, or natural moisture. Consult Dr. Chettasak at WIH International Hospital to find the option that suits your lifestyle and goals.
Dr. Chettasak Tulayaphanich: One of the World’s Leading Gender Affirmation Specialists
WIH Operating Theater Fully Equipped with Yellofin Stirrups for All Types of Male-to-Female Surgery
WIH Surgical Team for Gender Reassignment Surgery with PPV (Peritoneal Pull-Through Vaginoplasty)
Why Choose WIH International Hospital for Your Gender-Affirming Surgery (GAS)?
Reviewing Before & After Surgery Photos
Example Result of Dr. Chettasak’s Non-Penile Inversion Gender-Affirming Surgery
This case highlights a successful outcome of Dr. Chettasak’s non-penile inversion gender-affirming surgery, performed on a patient with an average penile length (uncircumcised before surgery). The patient kindly shared her postoperative results, showcasing aesthetic refinement and functional success.
Key Aesthetic & Surgical Features:
- Well-formed Labia Minora: Created using full penile and prepuce skin, natural lip-like folds extending from the clitoral frenulum to the vaginal introitus, closely mimics natural female genitalia.
- Vertically Elongated Vaginal Opening: Oval-shaped for a realistic, biological female appearance, neither too wide nor excessively large.
- Accurate Urethral Placement & Size: Correct anatomical positioning, maintains functional and aesthetic harmony.
- Successful Creation of the Posterior Fourchette: Well-defined junction where the labia minora meet, enhances natural genital aesthetics and anatomical integrity.
- Proportionate & Scar-Free Labia Majora: Smooth, well-contoured, and natural-looking, no visible scarring, blending seamlessly with surrounding tissue.
- Admired Pinkish Hue: The reddish-pink tone, praised in online forums, enhances the feminine aesthetic, closely resembles cisgender female anatomy.
- Postoperative Healing & Vaginal Depth: Smooth and rapid healing, with no reported complications, successful dilation routine, maintaining a 6.5-inch vaginal depth.
This result highlights Dr. Chettasak’s expertise in achieving both aesthetic beauty and functional success in gender-affirming surgery.
Example Result of Dr. Chettasak’s Non-Penile Inversion Gender-Affirming Surgery
This case highlights the exceptional aesthetic outcome of Dr. Chettasak’s non-penile inversion technique in a patient with an average penile length (uncircumcised before surgery).
Key Surgical Features & Aesthetic Outcomes:
- Well-formed Labia Minora: Sculpted using full penile and prepuce skin, natural, soft, lip-like folds extending from the clitoral frenulum to the vaginal opening, closely resembles natal female anatomy.
- Vertically Elongated Vaginal Opening: Oval-shaped, neither excessively wide nor narrow, mimics cisgender female genital proportions.
- Accurately Positioned Urethral Opening: Anatomically correct placement and size for functional and aesthetic balance.
- Successful Creation of the Posterior Fourchette: The posterior fourchette is well-defined, seamlessly merging with the labial contours, enhances natural genital harmony and authenticity.
- Proportionate & Scar-Free Labia Majora: Smooth, well-contoured, and aesthetically balanced with body proportions, free from noticeable surgical scars.
- Admired Pinkish Hue: The reddish-pink tone of the genital tissue, widely praised in the Reddit forum, enhances the feminine aesthetic.
- Successful Vaginal Depth & Healing: Patient maintains optimal vaginal depth through regular dilation, no reported complications or irregular healing.
This result demonstrates Dr. Chettasak’s advanced surgical expertise, ensuring both aesthetic beauty and functional success in gender-affirming surgery.
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Scheduling Surgery with Dr. Chettasak at WIH International Hospital
1. How do I start the process?
Contact the hospital via email at info@wihhospital.com. Submit a completed Patient Health Information Form and disclose any medical conditions. Photos may be required for surgical assessment.
2. Is an online consultation available?
Yes, online consultations can be scheduled through the CRM team for a fee.
3. How do I book my surgery?
Choose a surgery date with the hospital team. A non-refundable deposit of 20% is required within 10 days to secure the booking.
4. What are the payment options?
Payments can be made via international wire transfer or an online payment link.
5. What lab tests are needed before surgery?
Complete all required lab tests within 2 months of the surgery date. Please refer to the list of required lab tests at https://www.wihhospital.com/booking-your-surgery-at-wih-hospital/
6. Do I need to submit my flight details?
Yes, provide your full flight itinerary from the airline to arrange airport transportation service and book our post-surgery care ward (Hospitel service for recovery).
Comprehensive FAQ for Patients Planning Gender-Affirming Surgery (GAS)
Is Dr. Chettasak Tulyapanich the same person as Dr. Chettawut?
Yes, Dr. Chettasak Tulyapanich (formerly known as Dr. Chettawut) is the same renowned surgeon. He used the name Dr. Chettawut while working at Chettawut Plastic Surgery Center. He later opened WIH International Hospital in 2017 and changed his name to Dr. Chettasak. Patients can still refer to him as Dr. Chet or Dr. C.
• How often should I perform vaginal dilation after surgery?
• What tools are required for proper dilation?
• How can I prevent shrinkage of the neovagina?
• What’s the correct technique for effective dilation?
• When can I reduce the frequency of dilation?
👉 Find all the answers on Dr. Chet's IG!
1. What types of rooms are available and rates?
Deluxe Room (26 sq. m): 2,900 THB/night for 1 person, 3,400 THB/night for 2 people.
Grand Deluxe Room (30 sq. m): 3,500 THB/night for 1 person, 3,900 THB/night for 2 people.
VIP Family Room (70 sq. m): 12,500 THB/night for 2–3 people.
2. Can relatives stay with the patient?
Yes, all room types allow relatives, with rates adjusted for additional occupancy.
3. Where is the post-surgery care unit located?
On the 9th floor of WIH International Hospital.
4. How can I view the rooms?
Watch the room features here: WIH Hospital Room Features.
Deluxe Room
The room size is 26 sq. m for Deluxe Room.
The amenities include Complimentary Wi-Fi, a flat-screen LCD television, a toiletries set, and an In-room safe.
The type of bed for the patient can be either a patient bed or a standard-size regular bed.
The rate for a Deluxe room with breakfast for one person (patient) is 2,900 THB per night, and for two persons (1 patient and 1 relative), it is 3,400 THB per night.
Grand Deluxe Room
Enjoy maximum comfort and beautiful city views in your 30-sq. m Grand Deluxe Room.
The amenities include Complimentary Wi-Fi, a flat-screen LCD television, a toiletries set, and an In-room safe.
The type of bed for the patient can be either a patient bed or a standard-size regular bed.
The rate for a Grand Deluxe room with breakfast for one person (patient) is 3,500 THB per night, and for two persons (1 patient and 1 relative), it is 3,900 THB per night.
VIP Family Room
Discover ultimate comfort in your spacious, fully equipped haven. Set across 70 sq. m, the VIP Family comprises a separate living and sleeping area. There are two bathrooms in each room.
The amenities include Complimentary Wi-Fi, two flat-screen LCD televisions, a toiletries set, an In-room safe, and a work desk.
The type of bed for the patient can be either a patient bed or a standard-size regular bed.
A VIP family room can provide three beds and you can request one more bed with an extra charge.
The rate for a VIP family room with breakfast for 2-3 persons will be 12,500 THB per night
1. Who qualifies for this service?
International patients arriving at Suvarnabhumi (BKK) or Don Mueang (DMK) airports and staying at the hospital's post-surgery accommodation.
2. How do I arrange it?
Send your full flight itinerary (PDF/JPEG) and a recent photo for driver recognition.
3. Where do I meet the driver?
o BKK Airport: Meeting Point near Gate 3.
o DMK Airport: Meeting Point near Gate 2.
4. Can I arrange transport for a companion?
Yes, additional transport for friends/relatives on different flights is available for a fee.
5. How is return transport handled?
Scheduled approximately 4 hours before flight departure.
