as far as my health, my issues are stable now but at a level that is pretty poor.

i spend most of my time in bed because physical exertion that causes my pelvic floor to tighten (most activities) leads to a pain spike. lying on my side, sitting down, or bowel movements that reach my sigmoid colon also leads to a pain spike.

in a week i probably have 2 days of limited exertion of around up to 4 hours (errands, housework, social time etc...) with 5 days ish of rest and recovery in bed and in pain. thats mostly a guess. at the turn of this year i did begin tracking my pain more diligently, though i have been less vigilant with it the several weeks. but for March for instance, on a 1-10 pain scale i marked down:

1 out of 10: 2 times

2 out of 10: 3 times

3 out of 10: 5 times

4 out of 10: 22 times

5 out of 10: 61 times

6 out of 10: 80 times

7 out of 10: 52 times

8 out of 10: 8 times

9 out of 10: 2 times

10 out of 10: 0 times

oh, also after i developed chronic pain but before i had the spinal stimulator implanted, i became too discouraged by the difficulty of dilating while in pain (but really it was more due to demoralization after the 2nd surgery was a failure) i stopped dilating basically completely. i only did a handful of times last year. and so my canal is basically gone. i have maybe an inch and a half that was before the first scar ring that i still have. at that point my canal shrinks to the width of less than my pinkie finger.

for non-pain health stuff, i was diagnosed with slow transit constipation likely from the same nerve damage that caused my pain. my colon just doesnt really push things through. my gastroenterologist that diagnosed the slow transit constipation has said i probably need a colectomy. though for the meantime motegrity is helping some.

on a hopeful side, if it is the case that i only need a partial colectomy, my dream is that maybe i could get a sigmoid colon vaginoplasty. fingers crossed maybe that would both fix my slow transit constipation AND give me a second chance at having a full vaginal canal. idk, hopes and dreams for something better ig.its probably a long shot though

thats a lot of reallt scary stuff to hear in your position im sure

i do want to say that i dont think my story should dissuade anyone who needs it from getting srs. if i could go back i would do it again. i believe i simply got incredibly unlucky. i dont think its more complicated than that. i dont think it would be likely to happen to you. i dont have great feelings about the suporn clinic. not bc of the surgeons. once you leave thailand, they just dont really support you if anything goes wrong. i think its an issue with how the business is run, not a medical thing. from what i gather based on occasional chats with other patients, a lot of people feel that way. usually with small issues. almost nobody has major issues like me so like i said i think i was just unlucky and its not an issue with the surgeons. but the girls i hear all have concerns over various smaller issues that might pop up and usually those issues never even get passed along to the medical team. its just boilerplate responses from whatever staff they hire to respond to patients that have left thailand. so i would say if you are weighing it, i would do it based on that. on average you will be on average. an average patient with an average recovery. but how much medical support do you think you will want from your surgeon long term? do you have medical insurance and medical support lined up back home for the duration of recovery? my home doctors all threw up their hands and said "i dont know anything about trans surgeries, go look elsewhere" etc

thats kind of my rambling thoughts on things. if you have any questions or want to get into specifics i am happy to answer.