Warning: NOT for the squeamish!

Customers come to Thailand for sex reassignment surgery, including woman-to-man, from the US, South Korea, and in Japan, an inch is worth a job promotion.

Displaying excruciatingly graphic medical photos on his computer’s screen, Preecha explained why it is much more difficult to turn a woman into a man. The medical and cosmetic problems convince most women to opt for a very small penis, instead of an average-sized longer one.

“To do the long penis involves a very big operation, and quite a lot of mutilation, because the patient will have big scarring on the side of their belly, or on the arm, or the thigh, from the skin graft or the skin flap.

“Today, we have more and more patients wanting the so-called ‘small penis,’ or the ‘micro penis.’ We usually elongate the clitoris, and the patient is able to have about one-inch of a penis. He can stand up to urinate in the toilet. They still can stimulate themselves with masturbation. They can achieve sensation.” Sexual intercourse, however, is not possible with a one-inch penis.

“Of course they cannot do penetration. Too short. Only rubbing around. But they still can enjoy sexual pleasure.”

The other advantage is “no scar at all,” Preecha said. Skin grafts from elsewhere on the body are not needed if an entire phallus is not required.

“Longer, you need a lot of skin. Average size? We can do six inches, eight inches. But average is about four. It depends on the wish of the patient.

“Four inches is enough for insertion. But even you go for four inches, you still have the scar.”

Preecha says his handful of Japanese female-to-male patients tell him they can earn more money after they get their penises, a disheartening commentary on Japanese sexism in the marketplace.

“Now they like to do the small one-inch, because in Japan, you are able to get a promotion when you are the man. After you do the one-inch, you go back and apply to be a ‘Mister.’ When you are ‘Mister,’ you get a higher salary in Japan. “They want a penis for the job,” but that is not the only reason Japanese women undergo surgery to become men, he says.

Powered by ScribeFire.

Filed under: Business/Economy, East Asia, Southeast Asia Tagged: japan, sex change surgery, thailand