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Updated 15 May 2008

Gender reassignment surgery or penis enlargement surgery by Sava Perovic in Belgrade is most easily scheduled and costs less than elsewhere

What are the advantages of getting surgery from Dr Perovic in Belgrade?

The big advantage of getting the surgery in beautiful Belgrade, one of the oldest cities in Europe, is that you get longer and better post-operative attention directly from Dr Perovic and his team and incur no additional expenses like you do when he performs the surgery in other countries. For example, if you get your surgery in Thailand, Dr Perovic needs at least 3-4 patients to go there at the same time and they must share the cost of the doctor's airfare and accommodations as well as the hospital's charge for using their facility and the cost of you staying there.

Surgery by Dr Sava V Perovic in beautiful Belgrade and save

The more patients you have, the less it costs for each person because the cost of the doctor's expenses remain the same regardless of how many patients are scheduled and can be shared by all the patients. He will not come to Bangkok for less than three patients.

Schedule surgery by Dr Sava V Perovic at your convenience in friendly Belgrade

If you go to Belgrade, you have great flexibility in choosing the date that is best for you personally. No need to wait for a date that is also convenient for other patients.

Is Serbia a third-world country? Is Belgrade a dangerous place to visit?

SRS surgery MtF and penis enlargement surgery by phalloplasty Dr. Sava Perovic costs less in Belgrade and can be scheduled at your convenience

Dr Perovic says: “Belgrade is very safe city like anywhere else in normal parts of the world, maybe even more so. The situation in Serbia is normal and the economy is similar to that of Czech Republic or Hungary or other similar European countries. It is not as developed as the USA or Western Europe, but it is quite a normal country. We grew up with American movies and music so our people are always sympathetic towards Americans. Americans are MUCH safer in Belgrade then in the USA. We have many patients come here from the USA, England, Germany, Canada, etc. We are not a third-world country and our hotels are normal.”

Sex change gender reassignment surgery and plastic surgery phalloplasty by Dr Sava V Perovic is most affordable and convenient in Belgrade

Does Dr Sava Perovic's tissue engineering penis enlargement have any other advantages over dermal grafting, besides not cutting a portion out of one's body?

Not cutting any pieces out of you is a BIG advantage over any procedure that does. It's cut-and-paste vs. hi-tech regenerative medicine.

Female to male operation sexual reassignment surgery by SV Perovic is most convenient and affordable in Belgrade

Tissue engineering is extremely complex and requires a very high level of surgical skill and a good support team. Perhaps that is why more doctors don't use tissue engineering which is far superior to any other method. Look at the results! And they are always permanent. In addition, patients who get their penis enlargement from Dr Perovic experience no complications except for the 3% of guys who have sex just a week after the surgery instead of the recommended four weeks. Those minor complications can be treated with moderate amounts of common antibiotics.

The hi-tech polylacti-co-glycolic acid scaffold (PLGA) is made by Regen Biotech Inc., Sungnam, Korea. which has 108 patents for tissue engineering and regenerative medicine. They get the raw PLGA material from Alkermes, Inc. of Cambridge, Massachusetts. This technology and surgery has been around more than eight years and works great. This is no cottage industry.

There are no sheets of tissue used. Fibroblast cells harvested from just 1 cc of biopsied scrotal dermal tissue are cultured and then seeded on the biodegradable, pretreated PLGA scaffolds. Your body gradually replaces them over a four-month period with your own tissue in a natural way. The result is 100% you with no foreign substance around your penis. Only penis -- no fat, no Alloderm corpse skin, nothing synthetic.

Dr Perovic says: “The disadvantages of other surgeries are risks of serious complications, such as penile deformities (from lipofilling and dermofetal grafting), fibrosis, penile shortening (Alloderm), skin injury and necrosis (various liquid implants).”

What kind of length gain have you seen typically from Sava Perovic penis enlargement surgery?

Sava Perovic penile enlargement and phalloplasty and SRS surgery is most convenient in Belgrade

Penile “enlargement” includes both the lengthening and widening procedures. Dr Perovic uses ligamentolysis for penile lengthening which is the only way to safely increase length. Length increase in flaccid state tends to be one inch and less than that in erect state because the suspension system is reworked but the actual penis is not augmented to make it longer. In obese patients, he does “wet” liposuction of the pubic region, as well as penile skin reconstruction where indicated in order to expose and in that way lengthen the penis in flaccid state. Dr Perovic says the increase in length: “depends on the local findings and patient’s constitution (such as penile skin distribution, pubic fat, tissue characteristics) but the gain ranges from 1-4 cm (0.4 to 1.6 inches). In some cases there is no increase in length. The final result is visible after 4-6 months usually and it is lifelong.”

Increase in circumference (girth) is normally about (4 cm) 1.6 inches. However, the most recent Australian patient, reports his increase is more than 100% although that has not been confirmed with photos. We tend to believe him because his wife couldn't wait and after a week they already tested it out. Yes, that put him among the 3.4% who suffer complications but drugs ended the inflammation and the patient and his wife are “rapt”.

What's the the effect of penis enhancement surgery on sensations, pleasure, orgasms, stiffness of the erection, and effect on ability to penetrate?

Dr Perovic says: “The surgery does not injure any nerves or other important structures, so all of the above mentioned are fully preserved.”

Does lengthening (ligamentolysis) result in the penis pointing downwards and a hairy base of the penis and slipping and shifting during intercourse?

Dr Perovic says: “There is some downward penile pointing, but the other two problems — no. After ligamentolysis the angle goes down a little, but it does not affect penile stability.”

Hasn't anyone developed a method for re-anchoring the penis after ligamentolysis to avoid the reported problems of slipping and shifting during intercourse?

Dr Perovic says: “It is not a problem to perform, but it would nullify the effect of ligamentolysis.”

What post-operative procedures must patients follow to get maximum results from the penis enlargement surgery? Pumps? Weights? What?

Dr Perovic says: “Vacuum device is advised for all patients. Weights only for some, depending on their constitution.”

Where will the incision for the penis lengthening be done? Or is it done during degloving?

Dr Perovic says: “We use the same subcoronal circumcising incision made during penile degloving.”

Why not put an Allograft (see AlloDerm® below) dermal matrix graft under the proximal glans cap for glans enhancement?

Dr Perovic says: “It gives only temporary glanular widening. There is no real possibility of enlarging glanular spongiosal tissue.”

What is the most famous scar surgery hospital and doctor in Thailand?

This is not easy to answer simply due to three factors:

Plastic Surgery Thailand Genital?

Would you be surprised to know that on some search engines the best Thai plastic surgeons (world leaders in this field) for genital modification that have done THOUSANDS of procedures and have the most advanced techniques, highest success rate and lowest percentage of complications don't show up in the top 40 of results returned for this query? We can only recommend a couple of sources in Thailand for genital modification of any sort so that means the first few dozen highest ranking ones are not the best, they are just doing well on some search engines.

Penile prosthesis Thailand?

Sure, you can get them implanted in Thailand but they all come from the USA and there are many types. We recommend you get it done by a plastic surgeon who has a lot of experience with the make and model you want. Since we consider genitals rather important, we have to strongly recommend Dr. Sava Perovic. If you cannot afford him, then get the procedure from one of the Thai plastic surgeons he has trained who charge about 34% less. If you cannot afford either of those two suggestions, we have a third option that cannot be considered "Premiere League" but will likely to get you a good result and is affordably priced.

Medical tourist agencies + Thailand?

Medical-Tourism-in-Thailand.com can be categorized as a “medical tourist agency” in Thailand although many of the people who contact us are coming for procedures which won't make them feel like taking a tour. We have a recommended resort of choice for medical tourists we can book for you and we can also provide concierge services in addition to helping you find the most appropriate health care provider. We provide the most important destination management services.

Why not use AlloDerm® for penis enlargement?

You may find some well-known surgeons touting AlloDerm® and even bragging that they use ONLY AlloDerm®. The biotechnology company that manufactures AlloDerm® and Cymetra® (an injectable form of AlloDerm®), LifeCell Corporation, will not and does not recommend their product for penis enlargement phalloplasty. In fact, the USA Food and Drug Administration (FDA) regulates it's use and has specifically NOT approved Alloderm® as a “void filler” nor for “cosmetic augmentation”. LifeCell warns phalloplasty surgeons that it is “important to clarify” that: “cosmetic augmentation phalloplasty does not fall within approved procedures for which LifeCell can promote AlloDerm®”.

Sava Perovic penis enlargement plastic is most affordable in Belgrade

So even though some plastic surgeons still use this treated cadaver flesh for penile girth enhancement regardless (they prefer to call it a "sheet of collagen created from deceased humans"), Dr Sava Perovic considers it inadvisable and warns: “AlloDerm® is not resorbable and gives serious scarring. It is very dangerous with possible disastrous results such as risk of fibrosis and penile shortening.

“Tissue culture is safe. After scaffold reabsorption there is no residual foreign tissue around the penis. The shape after surgery is excellent.”

Why shouldn't I get 1-hour glans penis enhancement using hyaluronic-acid gel injected over the entire glans penis using a 30 gauge needle and local anesthesia which gives a 20% increase in girth for about 12 months?

Dr Perovic says: “It has only temporary and short-term effect and cannot convert into sponge-like glans tissue.”

Why doesn't Professor Perovic do autograft dermal fat grafts or porcine dermal matrix grafts?

Dr Perovic says: “With dermal grafts there is risk of penile deformities and with porcine dermal matrix grafts there's very high risk of serious fibrosis and permanent penile shortening.” Fibrosis is the formation of excessive scar tissue in response to injury.

What is the average penis size? Is average penis length the same around the world?

Average penis size & average penis length is based more on ethnic background rather than geographic origin or nationality. “Average” erect penis size actually varies quite a bit from 9.6 to 16 cm (3.8-6.3 inches). According to Spain's Andromedical S.L., 17 average penile length ranges as follows:

Why is flaccid, not erect penis size, usually used when talking about the results of penis enlargement surgery?

Actual increases from penis enlargment (penile lengthening) surgery are less significant than with girth enhancement surgery and much less noticeable in the erect state. Dr Rados Djinovic (pronounced JEN-NO-VIC), assisting surgeon for all procedures done by Professor Dr Sava V Perovic says: “Real penile lengthening (i.e.; lengthening of corporal bodies) is NOT a routine and safe procedure because of high risk of losing the ability to have an erection. It can be done safely only in patients with erectile dysfunction or Mb Peyronies concomitantly with implantation of penile prosthesis. We usually do only ligamentolysis, liposuction of pubic area and skin redistribution. All we (all surgeons) do is to expose the penis more outside body — it is especially visible in obese patients and in ones with different deformities of penile skin here the penis is covered.”

Are penis enlargement exercises of the penis muscles effective?

No way! Because, except in the case of a Perovic Total Phalloplasty neophallus, the penis is not made of muscle but rather veins that produce an erection through congestion and vasodilatation. Penis exercises are useless and a lie with no medical basis.

Does Dr Perovic's penis enlargement surgery produce “permanent” results that will last a life time?

Dr Perovic says: “Yes.”

What is the location and extent of scarring resulting from penis enlargement surgery by Dr Sava V. Perovic?

Dr Perovic says: “There is a subcoronal circular scar, hardly visible in the majority of patients.”

What stitching material does Dr Perovic use for penis enlargement surgery and do patients need to have it removed later by a doctor their local area? If so, when?

“We always use very thin, resorbable sutures, so there is no need for their removal — the stitches fall off after 2-4 weeks,” Dr Perovic.

Can I get Perovic Total Phalloplasty & still keep my vaginal canal with the ability to be penetrated?

No, you are not a suitable candidate for this procedure. Dr Perovic says: “We don’t do these strange patients — only regular transsexuals with psychiatric approval. You can find more info about transsexuals on http://www.wpath.org/.” (or see The Harry Benjamin International Gender Dysphoria Association's Standards Of Care For Gender Identity Disorders)

Dear Professor Perovic, what is the average length and width of the penis after your metoidioplasty (metaoidioplasty)?

“From 3-19 cm length (average 5) with small width – nobody ever measured it – I don’t know why.”

Is Dr. Perovic board certified to practice in the United States?

No, he is not. But in fact, doctors in the USA are licensed by individual states, not the Federal Government. A doctor licensed in Ohio cannot practice medicine in any other state. Board certification is not the same as a medical license. Professor Perovic is a a member of the American Academy of Phalloplasty Surgeons. Most of his professional credentials are published on our page about him.

Is it possible for Dr. Perovic to bill the cost of my surgery directly to my insurance provider?

No.

What types and brands of penile prosthesis devices can Dr Perovic implant?

Dr Perovic says: “We implant all kinds of prosthesis devices: inflatable (two or three components) and semirigid, both AMS and Mentor (now Coloplast). We have great experience in that field.”

Does Dr Perovic use InteXen LP (lyophilized porcine), the dermal matrix graft material of American Medical Systems Holdings Inc of Minnesota?

Dr Perovic says: “We primarily use InteXen for reconstruction of tunica albuginea in Mb Peyronie (IPP) and it is excellent for this. It is used as a patch for correction of penile defect after curvature correction. We have had very good results with this material. We don’t use it for the procedures mentioned by the manufacturer such as augmented repairs during reconstructive surgery of the vagina, bladder and urethra and solve erectile dysfunction.” Because of it's softness, easy handling, conformance to the natural anatomies of patients and improved healing response, it has been used in more than 132,000 patients in over 54 countries.

I had a partial suspensory ligament cut done in the past but it failed. Can Dr Perovic redo it?

Dr Perovic says: “Yes, no problem.”

I have a hormone condition. Can I get male breast reduction (gynecomastia) and nipple reduction at the same time I get penis enlargement surgery by Sava Perovic?

Dr Perovic says: “No problem, we can do it simuntaneously. Nipple reduction can be done too. The breast surgery would be Euros 1500 more.”

I want buttocks liposuction when I get my penis enlargement phalloplasty. Can Dr Perovic do that? And does he use wet or dry liposuction?

Dr Perovic says: “This can be done. We prefer 'wet' liposuction.”

Exactly how many cases of penis enlargement surgery has Dr Perovic done?

Dr Perovic says: “As of October 2007, we have done more then 300 cases of penile enlargement using PLGA scaffolds. The results are nicely presented in the article on the web site. Complications are minor and all are treated without the need for more surgery.”

Would I be better off contacting Dr Perovic directly? And what is the schedule and number of examinations with the doctor before and after the penis enlargement surgery?

Dr Perovic says: “Before surgery, there is no need for direct contact (go through the case manager). We are so busy that we don’t have time to eat normally and we really don’t have time to answer these endless questions. Photos in flaccid and erect state would be very valuable as well as current penile measurements – length and girth.”

Although it is not the traditional format of face-to-face consultation directly with a physician, working through the professor's case manager primarily through email does give patients anywhere in the world unprecedented access to the world's top urologist and does get them the surgery they require. The professor can understand your needs by means of your medical history, photos, measurements and comments.

Patients who actually make the decision to have surgery perfomed by Dr Perovic will meet the professor and discuss their situation face-to-face in the pre-operation consultation and physical exam the day before surgery. You will settle the finances at that time directly with the doctor. He expects all other details and matters to be worked out by his team.

Why? Because he is usually in surgery almost all day every day or flying to another country to do so. He's among the best surgeons in the world so has decided to limit his role to that of surgeon, not administrator, to give the maximum number of patients the benefit of his skills.

After surgery, the doctor sees a patient on specified days to ensure healing is proceeding as anticipated. For many surgeries, hospital stay is required for close observation and post-operative health care.

If any nursing care is needed while an out-patient and before returning to the person's home country, such as changes of bandages, the host hospital provides it. In summary, Professor Perovic does only what he alone can do and delegates all other matters to his personal team and the host hospital.

You can get the most and best and longest follow-up care from Dr Sava Perovic in Belgrade.

Does Professor Perovic put in writing his assurances that he'll sort out any complications arising later from the surgery?

Dr Perovic says: “Yes, definitely.”

What happens to old fat injections when you do penis enlargement using PLGA scaffolds?

Dr Perovic says: “Autologous fat injections are compatible with our tissue engineering using biodegradable PLGA scaffolds for penis enlargement. If the result of the past fat injection is satisfactory to the patient we can preserve it and to add scaffolds under or over it. We usually remove it because of a lot of irregularities and uneven contour — bumps and lumps. But IF the result is acceptable and the patient wants that — we can also preserve it.”

Do the Thai plastic surgeons who have studied your "Tissue Engineering with Biodegradable Scaffolds" procedure perform it in Bangkok?

Dr Perovic says: “They do not have scaffolds, nor the appropriate lab in which to prepare it as they should so they cannot have the same results. And of course, there are many tricks in this procedure …”

These Thai doctors do their own personal adaptation of the professor's techniques in a cafeteria-style manner. They do NOT do the exact same things in the exact same way as the professor and have their own rates of success and complications.

However, Dr Perovic has been invited by one leading international hospital in Bangkok to come to Thailand specifically to teach his exact procedure to their very experienced team of plastic surgeons — so the situation may change in late 2008.

Are there any Thai doctors who perform Dr Sava Perovic's FtM sex change surgery in Bangkok?

Dr Perovic says: “They are not experienced in FtM surgeries like us. Neither (are their techniques) close.”

How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?

Dr Perovic says: “We don't incorporate the clitoral nerves into the neophallus but rather the ilioinguinal nerve (rises from the first lumbar nerve, passes through the inguinal canal and superficial inguinal ring to supply the skin of the upper medial thigh, mons pubis, and scrotum or labia majora) in order to provide tactile sensation. We preserve the clitoris and cover it under the skin so the patient can have sexual arousal and orgasm.”

Is a scrotoplasty also included in the third stage of Perovic Total Phalloplasty surgery?

Dr Perovic says: “Yes, of course!” (in the case of transgender FtM sex change if it wasn't already done during earlier organ removal procedures or earlier stages of Perovic Total Phalloplasty).

Is it necessary to have a vaginectomy before getting Perovic Total Phalloplasty?

Dr Perovic says: “It's not necessary, but it is highly recommended. We can also do a vaginectomy and one week later perform the Total Phalloplasty.”

How long must a Perovic Total Phalloplasty patient stay in hospital?

Dr Perovic says: “For the first stage of Total Phalloplasty, the patient must stay approximately seven days in hospital and a few days more in his hotel — about 10-14 days in Belgrade before travelling back home.”

Is it OK to bring friends, relatives and/or other people interested in becoming patients of Dr Perovic to Belgrade when I get my surgery from the professor?

Dr Perovic says: “Yes, of course!” You are welcome to bring anyone you want to accompany you and meet the doctor.

Where do you usually perform Perovic Total Phalloplasty in Belgrade?

Dr Perovic performs surgery at a number of private clinics and hospitals in Belgrade. The type and length of surgery influences the choice of the most appropriate medical facility but there is no charge to the patient whichever facility is used since all surgical fees quoted are package prices that include everything related to the surgery, including all relevant transport, nursing, medicine, hospital stay, and anesthesia.

Are there any girth gains when the penis is erect through the tissue engineering with biodegradable PLGA scaffolds phalloplasty which Dr. Perovic performs? Is the penis circumference increased in both flaccid and erect state?

Dr Perovic says: “Yes there is also girth gain in the erect state.”

Why are Dr SV Perovic's surgical fees different on some pages such as the “Sex Change Gender Transformation FtM” and “Prices for Plastic Surgery in Thailand”? Is one the cost in Bangkok and the other the cost in Belgrade?

The basic difference in prices formerly published on our site was Dr Perovic's surgical fees versus those of doctors and hospitals in Thailand. We tried to make that clear by listing Professor SV Perovic's fees first and separately on the price list as well as listing them on pages about his procedures. Our goal was to help patients have a peaceful and stress-free experience with only pleasant surprises.

“Sex Change Gender Transformation FtM” is about Thai doctors who are friends of Dr Perovic and have studied his techniques but do surgery their own way with no involvement by Dr Perovic and using quite different surgical procedures that achieve significantly inferior results. The sub-heading “Gender Reassignment Surgery by Thai Doctors” (not Serbians) is to help make it clear what surgery is being discussed.

The basic factor affecting the total cost of getting surgery from Dr Perovic is whether the surgery is done in Belgrade or elsewhere but the surgical fee is the same.

If clients prefer the doctor to perform the surgery outside of Belgrade, they share a “foreign location” fee (which is approximately €3250 Euros in Bangkok) in addition to his surgical fee.

In all locations except Belgrade, patients must also pay hospital stay and medication costs. And if the patient is getting a prosthesis implanted, that is an additional cost not included in Dr Perovic's fees. Only in the case of testicular implants are the implants included in his surgical fee. PLGA scaffolds for penis enlargement are included in the doctor's fee and not considered an “implant” because in a few months they biodegrade and are replaced by tissue.

Dr Perovic is an honest, reputable and straightforward man who wants everything transparent and crystal clear to his clients.

What's a fistula?

A fistula, pronounced FISS-CHA-LA, is among the most common complications of FtM sex change procedures. Sometimes called a "fistulotomy", it can result from injury, surgery, infection or inflammation.

It is an unintentional passageway from a vessel, body structure or hollow organ (such as a penis or neophallus) which enables passage of bodily fluids to the outer surface of the person's body or to another organ or area of the body.

In many cases, the injury can be repaired with simple surgery that has a success rate of 90% and costs about US$300 in the USA. It is reasonable to expect the surgeon who performed a surgery that results in a fistula to perform the repair without a fee for his service. Some doctors expect the patient to bear other expenses such as the cost of the facility and perhaps anesthesia.

There are many types of fistula including: blind, complete and incomplete. A blind fistula connects two places but is open on only one end. An incomplete fistula opens on the skin but is closed on the internal end of the duct. A complete fistula is open on both ends and these kind result in fluid transfer.

Can Professor Perovic write a letter for me stating that I've already had my sex reassignment surgery since I'm going to have it soon?

Dr Perovic says: “We will not do any false documents for any patient.”

Can Dr SV Perovic do "glans sculpting" so the glans looks more natural and conspicuous? Can anything be done in that regard in addition to the de-epithelialized skin strip at the tip of the neophallus created during Total Phalloplasty?

Dr Perovic responds: “The best way to achieve this is a tattoo. It can look very nice.” (Note: He does not do the tattoo. No photos have been provided.)

What is the actual complication rate for Perovic Metoidioplasty 2008 with the urethral lengthening procedure?

Dr Perovic says: “Fistulas in about 3-5% of patients. Of those, the majority of the complications resolve by themselves. Stenosis occurs in an even smaller percentage of patients. As far as I can remember, a testicular implant has protruded in only one patient (0.0025% of 400+ cases).”

In what way is Perovic Metoidioplasty 2008 more advanced than in the past and better than what is offered by other doctors?

Dr Perovic says: “The technique is similar but there are some small 'tricks and tips' in order to avoid complications.” (Note: The 'small tips and tricks' have been developed by doing the procedure more than 400 times over more than a decade.)

If my friend, family member, companion, wife or signficant other wants to come along with me to Belgrade to provide support and will stay with me at my hotel or apartment arranged by your team, will they need to pay extra for their accommodation?

Dr Perovic says: “Family members can stay with patients but only one medical center allows it and they must pay for bed and breakfast (€50 per day).” Most hotels allow double occupancy and good ones can be found for €60/day. The apartment available for daily rent by patients of Dr Perovic visiting Belgrade costs the same and is also large enough for more than one person.

How much does it cost to stay at a medical facility in Belgrade longer than the stipulated number of days in the surgery package price?

Staying at a Belgrade medical facility longer than the standard recovery time costs €100/day and some hospitals charge more.

Can Sava Perovic's Tissue Engineering with Biodegradable Scaffolds be used for the clitoris during metoidioplasty to gain more girth and possibly length?

Dr Perovic says: “NO, these are completely different things.”

If I went to Belgrade to have FtM metoidioplasty surgery performed by Dr Perovic himself, where and at which hospital will the Perovic metoidioplasty be performed?

Dr Perovic says: “The hospital is not important at all. We do surgeries at many places and all have good conditions for this kind of surgery.”

Who exactly IS on Professor Perovic's Team?

Dr Perovic says: “Dr Rados Djinovic is a permanent member. We have also several younger assistants.”

Does Dr Perovic's Metoidioplasty 2008 surgical fee include full hysterectomy and vaginectomy?

Scrotoplasty and testicular implants are included. Multiple FtM organ removal can be done during the same surgery session as metoidioplasty but is not included in the price for only metoidioplasty. Specify exactly what organs need to be removed to get the exact cost.

If I choose to have my Perovic Metoidioplasty 2008 done personally by the professor in Belgrade, will someone organize accommodations and transport during my stay there?

Dr Perovic says: “Of course! Our driver waits for all patients and drives them directly to hospital. We also take care of all accommodations until departure. Hospital cost is included in the price, but not the cost of a hotel when it is needed. We arrange accommodations, the hospital, transfers, any help that the patient needs, but we do not pay the hotel bill.”

Will Dr Perovic supply me with Andractim gel to put on my clitoris to make it bigger?

Dr Perovic says: “It is a registered product that can be bought in France, Germany, Italy and many other European countries. The active substance in Andractim gel is 2.5% dihydrotestosteron. So any other product with the same substance could be used.”

Perovic Total Phalloplasty can provide a permanent 7" penis with tactile sensation that enables satisfying and successful sexual intercourse and an orgasm without the need for a drug to bulk-up the clitoris.

Does Dr Perovic use good medical facilities? Can your patients who go there expect to have peace, quiet and privacy, unlike what some persons have experienced with other doctors?

Dr Perovic says: “Our patients all have normal rooms ... and our patients up-to-date are satisfied.”

If buccal mucosa is used for urethroplasty, will it cause problems when I eat?

Dr Perovic says: “No.”

How soon after Total Phalloplasty Stage One will I be able to walk, work, drive and play sports?

After Total Phalloplasty Stage One (preceded by organ removal or not), Dr Perovic says: “It takes 2-3 days until the patient can walk unaided, 14 days until he will be able to drive and work and at least 28 days before he can resume playing sports.”

How long after Perovic Metoidioplasty 2008 will I be able to drive a car, do sports, have sex and return to work?

Dr Sava Perovic responds: “You'll should be able to drive a car after one week, work after 10-14 days, play sports after two weeks, and have sex after one month.”

The penis resulting from metoidioplasty is too short and too small for sexual intercourse but does enable a patient to urinate standing.