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The relatively low cost of Gender Reassignment Surgery in Thailand is one of the reasons why so many patients choose to come here. That GRS is easily accessed in Thailand can be attributed in part to the country's liberal views about sex and LGBT people.
For centuries, Thailand has embodied a relative openness in navigating categories of sexuality and gender. Walk down the street in Bangkok, and you're likely to see people labeled as kathoey, or "ladyboys." The nation has one of the largest transgender populations in the world, a fact many people — surgeons, therapists, transgender people — find difficult to explain. Maybe it's the relatively open Buddhist culture, one surgeon speculated. Perhaps it's out of financial necessity, others suggested, alluding to a high demand for kathoey sex workers. — Source
Whatever the reasons, Thailand now has a worldwide reputation as a global center for Gender Reassignment Surgery, and as a place where transgender people can experience greater freedom and acceptance compared to other countries.
More gender reassignment operations are carried out in Thailand than any country. A lot of clients for the surgery come from abroad. There's less bureaucracy and costs are much lower as well. Watch this informative video