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Island hopping in The Philippines

The Thaiger & The Nation

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Island hopping in The Philippines | The Thaiger

I’m never at my best at 5 o’clock in the morning. But here I am, bumping along the streets of Dumaguete in the Philippines, clinging to the seat of an open-sided bus as the sun tries to poke up over the houses and shops flashing by. Why? I’ve been promised leaping dolphins and a community on stilts in the sea.

Keri Jones

From Phuket, there are direct flights to The Philippines or short connections in Bangkok or KL.

Island hopping in The Philippines | News by The Thaiger

Island hopping in The Philippines | News by The Thaiger

These ‘Jeepnees’ look familiar.

Island hopping in The Philippines | News by The Thaiger.

But The Philippines are a long way to come from Europe. But if you’re prepared to travel the fourteen hours from London to Manila and then take an additional hour-long internal flight, you will find that your money also travels much further here on Negros Island in the central south of the country. When you switch pounds for pesos, you can enjoy luxury living – a good restaurant meal costs around £6. It’s the low cost of living here that has attracted so many European and American relocators.

Island hopping in The Philippines | News by The Thaiger

Gordon Mckissock is one of those. He moved from Canada to start a successful tour company, PhilCan Tours. Gordon told there are 4,000 expats in Dumaguete, a city of 120,0000. I don’t think the foreigners have changed the city much. Dumaguete still offers a taste of the real Philippines – cluttered, chaotic and colourful. Look up and you’ll see the jumble of electric and phone wires – hundreds of black cables twisted together and sagging between poles. I thought it was tough untangling my Christmas lights!

Island hopping in The Philippines | News by The Thaiger

You’ll have to ride in a ‘trike.’ They’re part of the Philippines experience. It’s a covered motorbike with a sort of welded-on sidecar in which you and up to two other passengers can sit. It can be a cosy ride for those with, lets say, a fuller figure so make sure you’re travelling with a loved one or at least a close friend. They’re darting around everywhere – thousands of them. In the centre of town there’s even a ‘trike’ fire engine on display. The fire service roll call would have been shorter than Trumpton’s – they’d reach Pugh and Pugh but be lucky to squeeze on Barney McGrew…

Trikes reach about 30mph, which is fine in a city where vendors meander between the motors to make sales before the traffic moves on. Owners personalise them in bold colours. Most proudly state the name of the operator’s wife or girlfriend. There are lots of good catholic names scrawled or painted on the bodywork – Maria, Rosa, Theresa. Some also contain the names of saints. The Philippines is a devout Catholic nation and all around Dumaguete you’ll see billboards quoting bible verse. “It is 95% Christian although there are some Muslim areas too,” Gordon told me. “There is a lot of value placed on the church but it’s all respectful. Families are large and stick together here.”

Dumaguete’s number one attraction has a religious connection too. A city centre tower was built in 1811 to house bells to warn of invading pirates. The name Dumaguete comes from Daguit, which means ‘to snatch.’ You can climb the landmark, which stands on the skyline like a 30m high grey, coralstone lighthouse. Underneath there’s a grotto with some religious statues. Women sell incense and candles outside.

But Gordon says there’s a lot see away from the frenetic activity of the town. “A big draw is Po Island,” said Gordon. “It’s a world-class wildlife sanctuary and it’s popular for diving and snorkelling. You can also swim with whale sharks in Oslob, at nearby Cebu Island, go on a tour to see waterfalls and bathe in hot springs.”

I boarded one of Gordon’s open-sided minibuses, a ‘jeepny,’ for the 28-mile ride to the port of Bais. The journey took us through a succession of small towns straddling the coastal highway. Men were carrying large bottles of water home on their shoulders for the morning washing and cooking. And the distinctive and pleasant smell of wood smoke filled the air.

An hour later we were in the countryside and driving alongside paddy fields, providing another unique aroma. I’d never smelt rice ‘in the field’ before but for a few minutes, the scent in the air took me back to school dinner days. The jeepny filled with the sweet, familiar smell of rice pudding!

We passed mangrove swamps and sugar plantations and 90 minutes later, we were on the long concrete wharf at Bais. I removed my shoes and socks and waded into the water, to board the wooden trimaran. The small eight-seater was fashioned out of bamboo poles bound together with plastic ties and with a plywood deck. A yellow canopy strung across the top provided shade.

Tour guide Jong’s assistant pushed off using a huge bamboo pole, like a Philippine gondolier, and the engine started up. We headed out into the bay and 45-minutes later there was an excited scream!

There was a dolphin. Then lots of them. Maybe half a dozen were teasing us by offering just a brief view of their dorsal fins. Then, just what everyone wanted, the group leapt a few feet from the water into the air. There were another four sightseeing boats on the sea near us and they soon latched on to our dolphin discovery, speeding over to get a closer look. Whether this disturbs the dolphins or provides them with some ‘hide and seek’ fun, I don’t know. But the dolphins soon vanished. Minutes later, they were back, 200 yards over on the starboard side. The show resumed.

Island hopping in The Philippines | News by The Thaiger

Have you ever had the urge to seek solitude on holiday? There are different ways of achieving it, depending on your budget. If you dream of being stranded on your own desert island, watching the tides rise and fall and the sun set and rise in the knowledge that nobody will disturb you, I might have found the perfect place for you.

As part of the trip out of Bais, our trimaran took us to a sandbar in the bay. Standing 25ft above the water were four platforms, topped with single-storey wood and thatch cottages. The steel legs holding them up made them look like oilrigs. I got off the boat and waded through the thigh-high, warm water to the small concrete platform on the sand. We’d timed it well. The sandbar is completely dry twice a day in the low tide but the water also rises above head height.

Wooden steps led the way to the accommodation above. On entering the simple two-room unit I found an elderly man brushing the deck. Tour guide Jong had accompanied me up the stairs and he translated my questions for the caretaker, who couldn’t speak English. The unit had a viewing deck and bedroom. A bucket on a rope provided the ensuite facilities and although fish could be caught and prepared, there was no cooking facility. So self-catering guests would have sushi at sunset!

Whether you stay overnight or wade out onto the sandbar for an hour, standing upright in the middle of the ocean, seeing starfish on the sandy bottom and sea urchins darting between your legs is a special experience.

Our final boat stop was at Talabong Mangrove Forest and Bird Sanctuary. It’s the largest remaining mangrove forest on the island and a very long wooden boardwalk leads you from the small boat dock, over and above the swamps to the heart of the mangrove. After years of destruction, the locals are now realising how important these habitats are as nurseries for fish. My interest piqued when Jong told me that monkeys live in the reserve. Sadly we didn’t see any.

PhilCan Tours offer a variety of trips around Negros Island, including my dolphin watching tour, as well as diving with whale sharks, fishing and mountain biking experiences. You can book on their website at philtraveltours.com.

I stayed at the Santa Monica Beach Club. The resort is a bumpy twenty-minute ride from Dumaguete airport, down a long, pothole-filled lane. And it’s got one of the biggest outdoor pools I’ve seen. The hotel feels safe and there is on-site security with officials patrolling all night. The hotel also provides free insect repellent made the traditional way from lemongrass. It works – a nice touch.

Keri Jones

Great Destinations Radio Show can be heard on The Thaiger 102.75 FM Saturdays and Sundays at 9am.

Keep in contact with The Thaiger by following our Facebook page.



Looking to jettison some items before jetsetting away or chartering a yacht? Look no further than Thaiger Classifieds where you can find and post items, work, property and more for free. Be sure to check out YonderTours for things to do in Thailand and tours across the country.

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News

Top 10 most boring news stories

The Thaiger

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Top 10 most boring news stories | The Thaiger

In the media we have ‘slow news days’. These days are when you scroll through countless feeds and articles to find something, anything, worth writing about.

Then the deadline looms and you have to publish something.

Then there are those glorious moments when something get published that really should never have been. But being the internet. these magic moments will live on forever.

Here are our Top 10 most boringly stupid headlines we could find.

1. The Suspicious Package

Top 10 most boring news stories | News by The Thaiger

2. The Grand Theft

Top 10 most boring news stories | News by The Thaiger

3. The Major Discovery

Top 10 most boring news stories | News by The Thaiger

4. The Surprise Closed Doors

Top 10 most boring news stories | News by The Thaiger

5. The Great Fast Food Paper Ripper

Top 10 most boring news stories | News by The Thaiger

6. The Horror Substitute

Top 10 most boring news stories | News by The Thaiger

7. The Loud Gate

Top 10 most boring news stories | News by The Thaiger

8. The Blob that went “Baaaa”

Top 10 most boring news stories | News by The Thaiger

9. The Method-Acting Manager

Top 10 most boring news stories | News by The Thaiger

10. The Most Hated Kitten

Top 10 most boring news stories | News by The Thaiger

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Thai Life

Sex Reassignment Surgery in Thailand (male to female) – a quick guide

The Thaiger

Published

on

Sex Reassignment Surgery in Thailand (male to female) – a quick guide | The Thaiger

MONTAGE: People Magazine

Thailand has a well-deserved reputation for excellence in sex reassignment surgery and the before and after care of patients. The country has a long relationship with Kathoeys, affectionately referred to in Thailand as ‘ladyboys’, and consequently, a well-developed approach to quality surgery in this area. The following article has been prepared by My Medi Travel.

Kathoey or katoey is a male-to-female transgender person or person of a third gender, or could be an effeminate homosexual male. Transgender women in Thailand mostly use terms other than kathoey when referring to themselves, such as phuying (Thai: ผู้หญิง ‘woman’). A significant number of Thais perceive kathoey as belonging to a third sex, including some transgender women themselves.

For people who want to match their born gender with what they feel is their ‘true’ gender, Thailand has an excellent reputation for Sex Reassignment Surgery (SRS) – also known as Gender Reassignment Surgery, Sex Change Operation, and MtF Surgery, to name a few. In this article we focus on the male to female related surgeries.

So, what makes Thailand such an attractive destination for this type of procedure? In short, it’s because patients can get the most out of such surgeries in Thailand thanks to the number of highly trained surgeons, low-cost and quality health care, and decades of knowledge and experience in perfecting this procedure.

If you’re considering SRS in Thailand, or you have a family member, a partner, or a friend who is wondering what is involved in the procedure, this guide should help to paint a clearer picture.

The Procedures

To undergo SRS is a huge, life-changing decision that should not be made lightly. It is a lengthy process that requires a lot of resilience and patience. Before the actual surgery, you will first need to live as a woman for at least a year and undertake hormone treatment to help reshape your body contour and stimulate the growth of a labia majora.

Here’s a list of the required prerequisites that all surgeons will insist upon before considering your case:

  • You must be at least 20 years old or have consent from parents / legal guardians for those between 18 and 20.
  • At least 12 months of successful and continuous real-life experience living as a woman.
  • At least 12 months of continuous hormonal therapy.
  • Must consult with a psychiatrist in your country and in the country where the procedure will be performed (this can be arranged in your chosen hospital).
  • Physically fit for surgery.

The actual process usually involves a few procedures:

  • Orchiectomy (removal of testes) and Penectomy (removal of the penis)
  • Vaginoplasty (creation of a vagina)
  • Breast Augmentation
  • Facial and Voice Feminisation Surgery (FFS and VFS)

You may also choose other surgical procedures, such as a Tracheal Shave to remove your Adam’s apple, or a Buttock Augmentation to increase the volume of the buttocks. Since every patient is unique, the procedures involved in SRS can be performed based on your needs and budget.

The most important part of male-to-female surgery is the creation of the vagina. There are numerous surgical techniques to do this based on your preference. You can discuss with your surgeon which one is best for you. The other popular techniques are as follows:

1. SRS without vaginal depth

  • This procedure is suitable for who those do not need vaginal penetration of sexual intercourse and unwanted vaginal dilation.
  • Hospitalization: 4 nights
  • Duration time of surgery: 2.5 hours
  • Recovery time in Thailand: 3-4 weeks
  • Approx. cost $8,400 USD

2. SRS with Penile Skin Inversion

  • Suitable for patients who do not want a vagina for sexual intercourse, particularly popular with elderly trans people. Depth is around 2-4 cm (1-2 in) and penile hair removal is required prior to surgery.
  • Surgery: 2.5 hours
  • Hospitalization: 4 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD

3. SRS with Scrotal Skin Graft

  • Scrotal skin is used to create a vaginal depth of up to 13-15 cm (5-6 in), depending on skin quality and quantity (additional depth is possible by using groin skin). This is the most popular SRS procedure.
  • Surgery: 4 hours
  • Hospitalization: 6 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD (with the option to increase depth further for $1,400 USD)

4. SRS with Sigmoid Colon by Laparoscopic Technique

  • The Sigmoid colon is used to create the vagina, allowing for greater depth than what is possible with SRS with a scrotal skin graft. More suited to those with less scrotal skin or those who prefer to have a lubricated vagina, like that of a biological woman. By far the most expensive technique.
  • Surgery: 6 hours
  • Hospitalisation: 7 nights
  • Recovery time in the local area is 3-4 weeks
  • The open technique, with a ~8-10 cm incision scar in the bikini line; approx. 13,700 USD
  • Laparoscopic technique; 4 small incisions in the abdomen; approx. 18,850 USD

Sex Reassignment Surgery in Thailand (male to female) - a quick guide | News by The Thaiger

Caitlyn Jenner, possibly the most famous, and well-publicised, transgender person

Recovery

Recovery after surgery will be a long and painful process. It will also require several follow up procedures as well as constant monitoring so you will have to stay a little bit longer at the hospital until you are fully ready to be discharged. Generally, allow for a minimum of 3 weeks stay in Thailand or the country of your choice area after your surgery. Most people are able to return to work in about 4-6 weeks after a sex change operation. Furthermore, you can resume strenuous work and exercise in about 6-8 weeks. It is vital that you strictly follow all medication instructions during your recovery period.

Aftercare

Social support is very important before and after the surgery, especially the support that comes from your family and loved ones. You have to be socially and emotionally stable before you undergo the operation. This is why it is required that you have proper counseling to help you with your emotional wellbeing. You have to prepare yourself mentally, before, during and after transition because it can be quite overwhelming and stressful.

It is also important that you maintain regular check-ups with your local Doctor to monitor the progress of your healing and avoid such complications.

Success Rate

The success rate for a sex change is very high, given our technological advancements. Gender reassignment surgery from male to female has a higher success rate than female to male; this is why more male transgender opts for a sex change.

However, given the nature and complexities of this type of surgery, you also have to be aware of its complications:

  • Possible risk of infection
  • Severe pain
  • Bleeding
  • Blood clotting and scarring

Possible side effects may also include:

  • Decreased sexual sensation and ability to orgasm
  • Fistula (opening between rectum and vagina)
  • Narrowing of vagina and hair growth in the vagina from the grafted tissue
  • Partial death of tissue used to create the new vagina

Costs

SRS can be very expensive, especially since it is difficult to get this type of surgery in many countries. One reason why Thailand is popular with those who want to change their sexual identity is that the country offers more affordable fees. Many patients come from the United States because the US has the most expensive male-to-female SRS prices in the world.

The prices range from $25,000 to $30,000 for just the reconstruction of the genitals alone. If you want to add breast augmentation and voice feminisation surgery, you can expect to pay more than $50,000. Additionally, some clinics in the US don’t include consultation fees in their prices, so you need to pay at least $50-100 for every consultation.

In general, SRS in Thailand costs around a third to half of what it can cost in the United States. For the reconstruction of the genitals in Thailand, you can expect to pay between $8,400 to $13,700 depending on which technique you choose.

Breast augmentation costs approximately $4,100 to $6,170 and Voice Feminisation Surgery costs between $3,590 to $7,180. In total, you will need to pay around $16,090 to $27,050 in Thailand for the complete procedure. These prices can also include packages, such as hospitalization accommodation, post-operative care, consultation fee, post-operative care, medications, and transportation.

Quality

The low-cost healthcare in Thailand does not mean low-quality treatment. In fact, Thailand is extremely popular among medical tourists because the country is known to have high-quality healthcare. Numerous medical centers in Thailand are accredited by prestigious international organizations, such as the Joint Commission International (JCI). The country has come a long way since its first Sex Reassignment Surgery in 1975, with many surgeons specialising in SRS for years, some even have over 20 years of experience. With their skills and experience, the surgeons and clinics can give patients the proper care they need and guarantee the best possible result.

Since there are many medical centres in the country that offer Male to Female SRS, it is understandable that some will better than others. To avoid disappointment, do your research, read reviews, find out about the clinic’s accreditation, and ask for your surgeon’s certifications. Better still, seek out the services of a dedicated Medical Tourism Facilitator like MyMediTravel who will guide you through the whole process and find you the best possible surgeon/clinic/hospital available and within your budget.

Keep in contact with The Thaiger by following our Facebook page.
Continue Reading

Medical

Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female)

Cita Catellya

Published

on

Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female) | The Thaiger

For those who want to match their physical gender with what they feel is their true gender, Thailand is the place for Sex Reassignment Surgery (SRS) – also known as Gender Reassignment Surgery, Sex Change Operation, and MtF Surgery, to name a few. So, what makes Thailand such an attractive destination for this type of procedure? In short, it’s because patients can get the most out of such surgeries in Thailand thanks to the number of highly trained surgeons, low-cost and quality health care, and decades of knowledge and experience in perfecting this procedure.

If you’re considering SRS in Thailand, or you have a family member, a partner, or a friend who is wondering what is involved in the procedure, this guide should help to paint a clearer picture.

The Procedures

To undergo SRS is a huge, life-changing decision that should not be made lightly. It is a lengthy process that requires a lot of resilience and patience. Before the actual surgery, you will first need to live as a woman for at least a year and undertake hormone treatment to help reshape your body contour and stimulate the growth of a labia majora.

Here’s a list of the required prerequisites that all surgeons will insist upon before considering your case:

  • You must be at least 20 years old or have consent from parents / legal guardians for those between 18 and 20.
  • At least 12 months of successful and continuous real-life experience living as a woman.
  • At least 12 months of continuous hormonal therapy.
  • Must consult with a psychiatrist in your country and in the country where the procedure will be performed (this can be arranged in your chosen hospital).
  • Physically fit for surgery.

The actual process usually involves a few procedures:

  • Orchiectomy (removal of testes) and Penectomy (removal of the penis)
  • Vaginoplasty (creation of a vagina)
  • Breast Augmentation
  • Facial and Voice Feminisation Surgery (FFS and VFS)

You may also choose other surgical procedures, such as a Tracheal Shave to remove your Adam’s apple, or a Buttock Augmentation to increase the volume of the buttocks. Since every patient is unique, the procedures involved in SRS can be performed based on your needs and budget.

The most important part of male-to-female surgery is the creation of the vagina. There are numerous surgical techniques to do this based on your preference. You can discuss with your surgeon which one is best for you. The other popular techniques are as follows:

1. SRS without vaginal depth

  • This procedure is suitable for who those do not need vaginal penetration of sexual intercourse and unwanted vaginal dilation.
  • Hospitalization: 4 nights
  • Duration time of surgery: 2.5 hours
  • Recovery time in Thailand: 3-4 weeks
  • Approx. cost $8,400 USD

2. SRS with Penile Skin Inversion

  • Suitable for patients who do not want a vagina for sexual intercourse, particularly popular with elderly trans people. Depth is around 2-4 cm (1-2 in) and penile hair removal is required prior to surgery.
  • Surgery: 2.5 hours
  • Hospitalization: 4 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD

3. SRS with Scrotal Skin Graft

  • Scrotal skin is used to create a vaginal depth of up to 13-15 cm (5-6 in), depending on skin quality and quantity (additional depth is possible by using groin skin). This is the most popular SRS procedure.
  • Surgery: 4 hours
  • Hospitalization: 6 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD (with the option to increase depth further for $1,400 USD)

4. SRS with Sigmoid Colon by Laparoscopic Technique

  • The Sigmoid colon is used to create the vagina, allowing for greater depth than what is possible with SRS with a scrotal skin graft. More suited to those with less scrotal skin or those who prefer to have a lubricated vagina, like that of a biological woman. By far the most expensive technique.
  • Surgery: 6 hours
  • Hospitalisation: 7 nights
  • Recovery time in the local area is 3-4 weeks
  • The open technique, with a ~8-10 cm incision scar in the bikini line; approx. 13,700 USD
  • Laparoscopic technique; 4 small incisions in the abdomen; approx. 18,850 USD
Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female) | News by The Thaiger

Caitlyn Jenner, Possibly the Most Famous Transgender Person Ever

Recovery

Recovery after surgery will be a long and painful process. It will also require several follow up procedures as well as constant monitoring so you will have to stay a little bit longer at the hospital until you are fully ready to be discharged. Generally, allow for a minimum of 3 weeks stay in Thailand or the country of your choice area after your surgery. Most people are able to return to work in about 4-6 weeks after a sex change operation. Furthermore, you can resume strenuous work and exercise in about 6-8 weeks. It is vital that you strictly follow all medication instructions during your recovery period.

Aftercare

Social support is very important before and after the surgery, especially the support that comes from your family and loved ones. You have to be socially and emotionally stable before you undergo the operation. This is why it is required that you have proper counseling to help you with your emotional wellbeing. You have to prepare yourself mentally, before, during and after transition because it can be quite overwhelming and stressful.

It is also important that you maintain regular check-ups with your local Doctor to monitor the progress of your healing and avoid such complications.

Success Rate

The success rate for a sex change is very high, given our technological advancements. Gender reassignment surgery from male to female has a higher success rate than female to male; this is why more male transgender opts for a sex change.

However, given the nature and complexities of this type of surgery, you also have to be aware of its complications:

  • Possible risk of infection
  • Severe pain
  • Bleeding
  • Blood clotting and scarring

Possible side effects may also include:

  • Decreased sexual sensation and ability to orgasm
  • Fistula (opening between rectum and vagina)
  • Narrowing of vagina and hair growth in the vagina from the grafted tissue
  • Partial death of tissue used to create the new vagina

Costs

SRS can be very expensive, especially since it is difficult to get this type of surgery in many countries. One reason why Thailand is popular with those who want to change their sexual identity is that the country offers more affordable fees. Many patients come from the United States because the US has the most expensive male-to-female SRS prices in the world.

The prices range from $25,000 to $30,000 for just the reconstruction of the genitals alone. If you want to add breast augmentation and voice feminisation surgery, you can expect to pay more than $50,000. Additionally, some clinics in the US don’t include consultation fees in their prices, so you need to pay at least $50-100 for every consultation.

In general, SRS in Thailand costs around a third to half of what it can cost in the United States. For the reconstruction of the genitals in Thailand, you can expect to pay between $8,400 to $13,700 depending on which technique you choose.

Breast augmentation costs approximately $4,100 to $6,170 and Voice Feminisation Surgery costs between $3,590 to $7,180. In total, you will need to pay around $16,090 to $27,050 in Thailand for the complete procedure. These prices can also include packages, such as hospitalization accommodation, post-operative care, consultation fee, post-operative care, medications, and transportation.

Quality

The low-cost healthcare in Thailand does not mean low-quality treatment. In fact, Thailand is extremely popular among medical tourists because the country is known to have high-quality healthcare. Numerous medical centers in Thailand are accredited by prestigious international organizations, such as the Joint Commission International (JCI). The country has come a long way since its first Sex Reassignment Surgery in 1975, with many surgeons specialising in SRS for years, some even have over 20 years of experience. With their skills and experience, the surgeons and clinics can give patients the proper care they need and guarantee the best possible result.

Since there are many medical centres in the country that offer Male to Female SRS, it is understandable that some will better than others. To avoid disappointment, do your research, read reviews, find out about the clinic’s accreditation, and ask for your surgeon’s certifications. Better still, seek out the services of a dedicated Medical Tourism Facilitator like MyMediTravel who will guide you through the whole process and find you the best possible surgeon/clinic/hospital available and within your budget.

Continue Reading

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