Due to the high number of requests, only serious clients will be contacted. For SRS/GRS candidates, please provide us some information about your transitioning process. For example,

 

how long have you been on hormone? When did you start your transition? Do you have an approval from your psychiatrist?

 

Thank you and we are looking forward to serving you soon.​

Contact Estetica Thailandia  *

 info@transgendersurgerythailand.com​

 

If yes, please provide your contact ID of

Send

Name - Surname :​ 

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Thank You!

The form has been successfully sent.

Address :

This field is required.

Dental care :

Scaling and polishing
Tooth whitening
Crown
Veneer

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Question :

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Country : 

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Mobile Phone : 

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Email :

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Do you prefer to be contacted on live chat application?

Yes
No

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What's App :

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Facebook Messenger :

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Line :

This field is required.

Age :

This field is required.

Weight :  (State whether your weight is in kg or pound)

This field is required.

Height :  (State whether yourheight is in foot or centimeter)

This field is required.

Do you have a letter from a psychiatrist states you are a candidate for SRS? (For SRS prospect only)

Yes
No

This field is required.

How long have you been on Hormone Therapy? ( Year(s) / Month(s) )

This field is required.

How long have you lived full-time in a cross gender role? ( Year(s) / Month(s) )

This field is required.

Do you have any health problems/allergies?  If yes, please specify.

Yes
No

This field is required.

Please specify

This field is required.

When do you plan to have this procedure done? ( DD/MM/YYYY )

This field is required.

Procedure: (Can choose more than one procedure.)​

Sex Reassignment Surgery (SRS) :

Penile Skin Inversion
Scrotal Skin Graft
Sigmoid Colon Vaginoplasty
Secondary Colon Vaginoplasty
Labiaplasty after SRS

This field is required.

Transgender Breast Surgery :

Breast augmentation (less than 400 cc)
Breast augmentation (more than 400 cc)
Correction Breast Implants
Breast lift

This field is required.

Body Surgery :

Liposuction
Abdominoplasty (Tummy tuck)
Gluteal Implant (Buttock Augmentation)

This field is required.

Facial Feminization Surgery (FFS) :

Face lift
Neck lift
Tracheal shave
Brow bossing reduction
Hairline Lowering
Upper Eyelid
Lower Eyelid
Nose reduction
Cheek augmentation
Osteotomy-malarplasty
Chin augmentation
Chin Reduction
Jaw reshaving

This field is required.

Send

Name - Surname :​ 

This field is required.

Thank You!

The form has been successfully sent.

Address :

This field is required.

Dental care :

Scaling and polishing
Tooth whitening
Crown
Veneer

This field is required.

Question :

This field is required.

Country : 

This field is required.

Mobile Phone : 

This field is required.

Email :

This field is required.

Do you prefer to be contacted on live chat application?

Yes
No

This field is required.

What's App :

This field is required.

Facebook Messenger :

This field is required.

Line :

This field is required.

Age :

This field is required.

Weight :  (State whether your weight is in kg or pound)

This field is required.

Height :  (State whether yourheight is in foot or centimeter)

This field is required.

Do you have a letter from a psychiatrist states you are a candidate for SRS? (For SRS prospect only)

Yes
No

This field is required.

How long have you been on Hormone Therapy? ( Year(s) / Month(s) )

This field is required.

How long have you lived full-time in a cross gender role? ( Year(s) / Month(s) )

This field is required.

Do you have any health problems/allergies?  If yes, please specify.

Yes
No

This field is required.

Please specify

This field is required.

When do you plan to have this procedure done? ( DD/MM/YYYY )

This field is required.

Procedure: (Can choose more than one procedure.)​

Sex Reassignment Surgery (SRS) :

Penile Skin Inversion
Scrotal Skin Graft
Sigmoid Colon Vaginoplasty
Secondary Colon Vaginoplasty
Labiaplasty after SRS

This field is required.

Transgender Breast Surgery :

Breast augmentation (less than 400 cc)
Breast augmentation (more than 400 cc)
Correction Breast Implants
Breast lift

This field is required.

Body Surgery :

Liposuction
Abdominoplasty (Tummy tuck)
Gluteal Implant (Buttock Augmentation)

This field is required.

Facial Feminization Surgery (FFS) :

Face lift
Neck lift
Tracheal shave
Brow bossing reduction
Hairline Lowering
Upper Eyelid
Lower Eyelid
Nose reduction
Cheek augmentation
Osteotomy-malarplasty
Chin augmentation
Chin Reduction
Jaw reshaving

This field is required.

E-mail :  info@transgendersurgerythailand.com​

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