{"id":14309,"date":"2026-05-19T07:32:17","date_gmt":"2026-05-19T00:32:17","guid":{"rendered":"https:\/\/www.phuketpsi.com\/advancing-gender-affirmation-surgery\/"},"modified":"2026-09-02T14:28:18","modified_gmt":"2026-09-02T07:28:18","slug":"advancing-gender-affirmation-surgery","status":"publish","type":"post","link":"https:\/\/www.phuketpsi.com\/ru\/advancing-gender-affirmation-surgery\/","title":{"rendered":"\u041f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u0443\u0440\u043e\u0432\u043d\u044f \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u043e-\u0430\u0444\u0444\u0438\u0440\u043c\u0430\u0442\u0438\u0432\u043d\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438: \u0441\u043e\u0437\u0434\u0430\u043d\u0438\u0435 \u043d\u0435\u043e\u0432\u0430\u0433\u0438\u043d\u044b \u0441 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u0442\u0435\u0445\u043d\u0438\u043a\u0438 \u0441\u0432\u043e\u0431\u043e\u0434\u043d\u043e\u0439 \u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u0438 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 ("},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"14309\" class=\"elementor elementor-14309 elementor-10579\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f807e62 e-con-full e-flex e-con e-parent\" data-id=\"f807e62\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d11df6 elementor-widget elementor-widget-image\" data-id=\"6d11df6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-683x1024.jpg\" class=\"attachment-large size-large wp-image-10592\" alt=\"Advancing Gender Affirmation Surgery\" srcset=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-683x1024.jpg 683w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-200x300.jpg 200w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-768x1152.jpg 768w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-1024x1536.jpg 1024w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-1365x2048.jpg 1365w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423-1000x1500.jpg 1000w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/IMG_8423.jpg 1672w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf0fffe elementor-widget elementor-widget-heading\" data-id=\"bf0fffe\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0410\u0432\u0442\u043e\u0440: \u0434-\u0440 \u0421\u0430\u043d\u0433\u0443\u0430\u043d \u041a\u0443\u043d\u0430\u043f\u043e\u0440\u043d (Dr. Sanguan Kunaporn)<br>\n\u0414\u0438\u0440\u0435\u043a\u0442\u043e\u0440 \u0418\u043d\u0441\u0442\u0438\u0442\u0443\u0442\u0430 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0438 \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u041f\u0445\u0443\u043a\u0435\u0442\u0430 (PPSI)<br><br>\n\n\u0412 \u043d\u0430\u0441\u0442\u043e\u044f\u0449\u0435\u0435 \u0432\u0440\u0435\u043c\u044f \u043c\u0435\u0442\u043e\u0434\u0438\u043a\u0430 \u0432\u0430\u0433\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0438 \u043d\u0435\u043f\u0440\u0435\u0440\u044b\u0432\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f, \u0441 \u0430\u043a\u0446\u0435\u043d\u0442\u043e\u043c \u043d\u0430 \u0434\u043e\u0441\u0442\u0438\u0436\u0435\u043d\u0438\u0435 \u043a\u0430\u043a \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u0445, \u0442\u0430\u043a \u0438 \u0435\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0445 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u0432. \u0422\u0435\u0445\u043d\u0438\u043a\u0430 \u0441\u0432\u043e\u0431\u043e\u0434\u043d\u043e\u0439 \u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u0438 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 (Free Small Intestinal Jejunal Graft) \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0441\u044f \u043a \u0432\u044b\u0441\u043e\u043a\u043e\u0441\u043b\u043e\u0436\u043d\u044b\u043c \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430\u043c (High-Complexity Procedure). \u0412 \u0434\u0430\u043d\u043d\u043e\u0439 \u0441\u0442\u0430\u0442\u044c\u0435 \u0430\u043d\u0430\u043b\u0438\u0437\u0438\u0440\u0443\u0435\u0442\u0441\u044f \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u043f\u0440\u043e\u0446\u0435\u0441\u0441 \u0432 \u0440\u0430\u043c\u043a\u0430\u0445 \u0441\u0438\u0441\u0442\u0435\u043c\u044b \u0443\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u0440\u0438\u0441\u043a\u0430\u043c\u0438 \u0432\u044b\u0441\u043e\u043a\u043e\u0433\u043e \u0443\u0440\u043e\u0432\u043d\u044f \u00ab\u0410\u043b\u043c\u0430\u0437 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u00bb (The Patient Safety Diamond), \u043a\u043e\u0442\u043e\u0440\u0430\u044f \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u0438\u043d\u0442\u0435\u0433\u0440\u0430\u0446\u0438\u044e \u0442\u0435\u0445\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430. \u0426\u0435\u043b\u044c\u044e \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u0447\u0430\u0441\u0442\u043e\u0442\u044b \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439 \u0438 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0446\u0435\u043d\u0442\u0430 \u0443\u0441\u043f\u0435\u0448\u043d\u043e\u0439 \u0438\u043d\u0442\u0435\u0433\u0440\u0430\u0446\u0438\u0438 \u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0442\u0430.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56893ac elementor-widget elementor-widget-image\" data-id=\"56893ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"661\" src=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-1024x661.jpg\" class=\"attachment-large size-large wp-image-10596\" alt=\"Advancing Gender Affirmation Surgery\" srcset=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-1024x661.jpg 1024w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-300x194.jpg 300w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-768x496.jpg 768w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-1536x992.jpg 1536w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889-1000x646.jpg 1000w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/406889.jpg 1592w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d51c05 elementor-widget elementor-widget-heading\" data-id=\"3d51c05\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. \u0418\u043d\u043d\u043e\u0432\u0430\u0446\u0438\u044f, \u043c\u0435\u043d\u044f\u044e\u0449\u0430\u044f \u0436\u0438\u0437\u043d\u044c: \u043f\u043e\u0434\u0440\u043e\u0431\u043d\u044b\u0439 \u0440\u0430\u0437\u0431\u043e\u0440 \u0442\u0435\u0445\u043d\u0438\u043a\u0438 \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u043e-\u0430\u0444\u0444\u0438\u0440\u043c\u0430\u0442\u0438\u0432\u043d\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u00abFree Jejunal Graft\u00bb (\u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0446\u0438\u044f \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2463f4 elementor-widget elementor-widget-heading\" data-id=\"d2463f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>\u0410\u0432\u0442\u043e\u0440:<\/b> <b>\u0434-\u0440 \u0421\u0430\u043d\u0433\u0443\u0430\u043d \u041a\u0443\u043d\u0430\u043f\u043e\u0440\u043d<br><\/b>\n\n\u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043a\u043e\u0440\u0440\u0435\u043a\u0446\u0438\u044f \u043f\u043e\u043b\u0430 \u043f\u043e \u043d\u0430\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u0438\u044e \u00ab\u043c\u0443\u0436\u0447\u0438\u043d\u0430 \u2013 \u0436\u0435\u043d\u0449\u0438\u043d\u0430\u00bb (Male to Female) \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0432\u0430\u0436\u043d\u0435\u0439\u0448\u0438\u043c \u044d\u0442\u0430\u043f\u043e\u043c, \u043c\u0435\u043d\u044f\u044e\u0449\u0438\u043c \u0436\u0438\u0437\u043d\u044c \u043b\u044e\u0434\u0435\u0439 \u0441 \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u044b\u043c \u0440\u0430\u0437\u043d\u043e\u043e\u0431\u0440\u0430\u0437\u0438\u0435\u043c. \u041e\u0434\u043d\u043e\u0439 \u0438\u0437 \u0441\u0430\u043c\u044b\u0445 \u0441\u043b\u043e\u0436\u043d\u044b\u0445 \u0437\u0430\u0434\u0430\u0447 \u0434\u043b\u044f \u0445\u0438\u0440\u0443\u0440\u0433\u0430 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0441\u043e\u0437\u0434\u0430\u043d\u0438\u0435 \u043d\u0435\u043e\u0432\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0430\u043d\u0430\u043b\u0430 (Neovaginal canal), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0431\u044b\u043b \u0431\u044b \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u043d\u044b\u043c, \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u043c \u0438 \u0438\u043c\u0435\u043b \u0431\u044b \u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u0443\u044e \u0433\u043b\u0443\u0431\u0438\u043d\u0443. \u0414-\u0440 \u0421\u0430\u043d\u0433\u0443\u0430\u043d \u041a\u0443\u043d\u0430\u043f\u043e\u0440\u043d, \u0434\u0438\u0440\u0435\u043a\u0442\u043e\u0440 \u0418\u043d\u0441\u0442\u0438\u0442\u0443\u0442\u0430 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0438 \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u041f\u0445\u0443\u043a\u0435\u0442\u0430 (PPSI), \u043f\u0440\u0438\u0437\u043d\u0430\u043d\u043d\u044b\u0439 \u044d\u043a\u0441\u043f\u0435\u0440\u0442 \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u043e-\u0430\u0444\u0444\u0438\u0440\u043c\u0430\u0442\u0438\u0432\u043d\u044b\u0445 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0439, \u0441\u043e\u0432\u043c\u0435\u0441\u0442\u043d\u043e \u0441 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0439 \u043a\u043e\u043c\u0430\u043d\u0434\u043e\u0439 \u043e\u043f\u0443\u0431\u043b\u0438\u043a\u043e\u0432\u0430\u043b \u0438 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u0438\u043b \u043d\u043e\u0432\u0443\u044e \u043c\u0435\u0442\u043e\u0434\u0438\u043a\u0443, \u043f\u0440\u0438\u0437\u043d\u0430\u043d\u043d\u0443\u044e \u0432 \u043c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u044b\u0445 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0436\u0443\u0440\u043d\u0430\u043b\u0430\u0445. \u042d\u0442\u043e \u0442\u0435\u0445\u043d\u0438\u043a\u0430 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u044f \u0441\u0432\u043e\u0431\u043e\u0434\u043d\u043e\u0433\u043e \u043b\u043e\u0441\u043a\u0443\u0442\u0430 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438, \u0438\u043b\u0438 \u00abFree Jejunal Graft\u00bb. \u0414\u0430\u043d\u043d\u0430\u044f \u0442\u0435\u0445\u043d\u0438\u043a\u0430 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0433\u043e\u0440\u0434\u043e\u0441\u0442\u044c\u044e PPSI \u0437\u0430 \u0432\u043a\u043b\u0430\u0434 \u0432 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438. \u041d\u0438\u0436\u0435 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u0435\u043d\u044b \u0435\u0451 \u043a\u043b\u044e\u0447\u0435\u0432\u044b\u0435 \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u0438 \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0430.\n\u0427\u0442\u043e \u0442\u0430\u043a\u043e\u0435 \u0442\u0435\u0445\u043d\u0438\u043a\u0430 Free Jejunal Graft?\n\u0422\u0435\u0445\u043d\u0438\u043a\u0430 Free Jejunal Graft \u2013 \u044d\u0442\u043e \u0438\u043d\u043d\u043e\u0432\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0435 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u043e, \u043f\u0440\u0438 \u043a\u043e\u0442\u043e\u0440\u043e\u043c \u0447\u0430\u0441\u0442\u044c \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 (Jejunum) \u0441\u0430\u043c\u043e\u0433\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u0442\u0441\u044f \u0434\u043b\u044f \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u0441\u0442\u0435\u043d\u043a\u0438 \u043d\u043e\u0432\u043e\u0433\u043e \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0430. \u041e\u043d\u0430 \u0431\u044b\u043b\u0430 \u0440\u0430\u0437\u0440\u0430\u0431\u043e\u0442\u0430\u043d\u0430 \u0434\u043b\u044f \u043f\u0440\u0435\u043e\u0434\u043e\u043b\u0435\u043d\u0438\u044f \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u0438\u0439 \u0438 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043a\u043e\u0432 \u0442\u0440\u0430\u0434\u0438\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0430\u0433\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0438.\n<br>\n<b>\u0414\u0432\u0443\u0445\u044d\u0442\u0430\u043f\u043d\u044b\u0439 \u043c\u0435\u0442\u043e\u0434 (Two-Stage Method)<\/b>\n\u041a\u043b\u044e\u0447\u0435\u0432\u043e\u0439 \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e \u0434\u0430\u043d\u043d\u043e\u0439 \u043c\u0435\u0442\u043e\u0434\u0438\u043a\u0438 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0440\u0430\u0437\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u043d\u0430 \u0434\u0432\u0430 \u044d\u0442\u0430\u043f\u0430 \u0434\u043b\u044f \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0435\u043d\u0438\u044f \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u0438 \u0434\u043e\u0441\u0442\u0438\u0436\u0435\u043d\u0438\u044f \u0438\u0434\u0435\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0430.\n<br><br>\n<b>\u042d\u0442\u0430\u043f 1 (Stage 1):<\/b> \u0425\u0438\u0440\u0443\u0440\u0433 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442 \u043e\u0440\u0445\u0438\u044d\u043a\u0442\u043e\u043c\u0438\u044e (Orchiectomy), \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u043d\u043e\u0432\u043e\u0439 \u0443\u0440\u0435\u0442\u0440\u044b (Urethroplasty) \u0438 \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u043a\u0443 \u043b\u043e\u0436\u0430 \u0434\u043b\u044f \u043d\u0435\u043e\u0432\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0430\u043d\u0430\u043b\u0430 (Neovaginal canal dissection).\n<br><br>\n<b>\u042d\u0442\u0430\u043f 2 (Stage 2):<\/b> \u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u0442\u0441\u044f \u0442\u0435\u0445\u043d\u043e\u043b\u043e\u0433\u0438\u044f \u043e\u0434\u043d\u043e\u0440\u0430\u0437\u0440\u0435\u0437\u043d\u043e\u0439 \u043b\u0430\u043f\u0430\u0440\u043e\u0441\u043a\u043e\u043f\u0438\u0438 (Single-port laparoscopy), \u043a\u043e\u0442\u043e\u0440\u0430\u044f \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043c\u0430\u043b\u043e\u0438\u043d\u0432\u0430\u0437\u0438\u0432\u043d\u043e\u0439 \u0438 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u0438\u0447\u043d\u043e\u0439; \u0442\u0430\u043a\u0436\u0435 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u044d\u0442\u0430\u043f\u0430 \u0431\u0435\u0437 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u044f \u043b\u0430\u043f\u0430\u0440\u043e\u0441\u043a\u043e\u043f\u0430, \u0441 \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0442\u0430 \u0432\u043d\u0435 \u0431\u0440\u044e\u0448\u043d\u043e\u0439 \u043f\u043e\u043b\u043e\u0441\u0442\u0438. \u041f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0437\u0430\u0431\u043e\u0440 \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 \u0441\u0440\u0435\u0434\u043d\u0435\u0439 \u0434\u043b\u0438\u043d\u043e\u0439 \u043e\u043a\u043e\u043b\u043e 15 \u0441\u0430\u043d\u0442\u0438\u043c\u0435\u0442\u0440\u043e\u0432. \u0417\u0430\u0442\u0435\u043c \u0442\u043a\u0430\u043d\u044c \u043c\u043e\u0434\u0435\u043b\u0438\u0440\u0443\u0435\u0442\u0441\u044f (Remodeling) \u0438 \u0443\u043a\u043b\u0430\u0434\u044b\u0432\u0430\u0435\u0442\u0441\u044f \u0432 \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u043b\u0435\u043d\u043d\u043e\u0435 \u0432\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u043e\u0435 \u043b\u043e\u0436\u0435.<br><br>\n\n<b>\u041f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0430 \u0438 \u0441\u0438\u043b\u044c\u043d\u044b\u0435 \u0441\u0442\u043e\u0440\u043e\u043d\u044b \u0442\u0435\u0445\u043d\u0438\u043a\u0438 Free Jejunal Graft<\/b><br><b>\n<\/b>\n<b> 1.\u0421\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439 \u0438 \u043e\u0442\u0451\u043a\u0430: <\/b>\u0420\u0430\u0437\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u043d\u0430 \u0434\u0432\u0430 \u044d\u0442\u0430\u043f\u0430 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0445\u0438\u0440\u0443\u0440\u0433\u0443 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0433\u0435\u043c\u043e\u0441\u0442\u0430\u0437 (Hemostasis) \u0438 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0443\u043c\u0435\u043d\u044c\u0448\u0438\u0442\u044c \u043e\u0442\u0451\u043a \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u043d\u043e\u0432\u043e\u0441\u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0430.<b><br><\/b><br>\n\n<b> 2.\u0411\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u044c \u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u043e-\u043a\u0438\u0448\u0435\u0447\u043d\u044b\u0445 \u043f\u0440\u043e\u0431\u043b\u0435\u043c: <\/b>\u041d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u044f \u0437\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c\u0438 \u043f\u043e\u043a\u0430\u0437\u0430\u043b\u0438, \u0447\u0442\u043e \u0442\u0435\u0445\u043d\u0438\u043a\u0430 \u043e\u0431\u043b\u0430\u0434\u0430\u0435\u0442 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u044c\u044e, \u043d\u0435 \u0432\u044b\u0437\u044b\u0432\u0430\u0435\u0442 \u0441\u0435\u0440\u044c\u0451\u0437\u043d\u044b\u0445 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439, \u0438 \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u043d\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0435\u0442\u0441\u044f \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0434\u0438\u0441\u043a\u043e\u043c\u0444\u043e\u0440\u0442\u0430 \u0438\u043b\u0438 \u043f\u0440\u043e\u0431\u043b\u0435\u043c \u0441 \u043f\u0438\u0449\u0435\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u043c \u0442\u0440\u0430\u043a\u0442\u043e\u043c (No persistent gastrointestinal discomfort) \u043f\u043e\u0441\u043b\u0435 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438 \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438.<b><br><\/b><br>\n\n<b> 3.\u041f\u043e\u043b\u043d\u043e\u0435 \u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u044b \u00ab\u0433\u043b\u0443\u0431\u0438\u043d\u044b\u00bb: <\/b>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0442\u043a\u0430\u043d\u0438 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 \u0434\u043b\u044f \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0430 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e \u0440\u0435\u0448\u0438\u0442\u044c \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0443 \u0433\u043b\u0443\u0431\u0438\u043d\u044b \u043d\u0435\u043e\u0432\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0430\u043d\u0430\u043b\u0430, \u0447\u0442\u043e \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u0435\u0442 \u0432\u044b\u0441\u043e\u043a\u0443\u044e \u0441\u0442\u0435\u043f\u0435\u043d\u044c \u0443\u0434\u043e\u0432\u043b\u0435\u0442\u0432\u043e\u0440\u0451\u043d\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432.<b><br><\/b><br>\n\n<b> 4.\u0415\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u0441\u043c\u0430\u0437\u043a\u0430: <\/b>\u0422\u043a\u0430\u043d\u044c \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 \u043e\u0431\u043b\u0430\u0434\u0430\u0435\u0442 \u0441\u0432\u043e\u0439\u0441\u0442\u0432\u043e\u043c \u0435\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0439 \u0441\u0435\u043a\u0440\u0435\u0446\u0438\u0438 \u0441\u043b\u0438\u0437\u0438, \u0447\u0442\u043e \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u0435\u0442 \u0441\u0430\u043c\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u0443\u0432\u043b\u0430\u0436\u043d\u0435\u043d\u0438\u0435. \u0411\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u044f \u044d\u0442\u043e\u043c\u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c \u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u043d\u0435 \u0442\u0440\u0435\u0431\u0443\u0435\u0442\u0441\u044f \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u043d\u0435\u0448\u043d\u0438\u0445 \u0441\u043c\u0430\u0437\u043e\u0447\u043d\u044b\u0445 \u043c\u0430\u0442\u0435\u0440\u0438\u0430\u043b\u043e\u0432 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043f\u043e\u043b\u043e\u0432\u043e\u0439 \u0436\u0438\u0437\u043d\u0438.<br><br>\n\n<b> 5.\u042d\u0441\u0442\u0435\u0442\u0438\u0447\u043d\u043e\u0441\u0442\u044c \u0438 \u0435\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043a\u043e\u043d\u0442\u0443\u0440\u043e\u0432:<br><\/b>\n\u041d\u0430\u0440\u0443\u0436\u043d\u044b\u0435 \u0440\u0430\u0437\u0440\u0435\u0437\u044b \u0430\u043a\u043a\u0443\u0440\u0430\u0442\u043d\u043e \u0441\u043a\u0440\u044b\u0442\u044b \u0432 \u0441\u043a\u043b\u0430\u0434\u043a\u0430\u0445 \u0431\u043e\u043b\u044c\u0448\u0438\u0445 \u0438 \u043c\u0430\u043b\u044b\u0445 \u043f\u043e\u043b\u043e\u0432\u044b\u0445 \u0433\u0443\u0431, \u0447\u0442\u043e \u0434\u0435\u043b\u0430\u0435\u0442 \u043a\u043e\u043d\u0435\u0447\u043d\u044b\u0439 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043c\u0430\u043a\u0441\u0438\u043c\u0430\u043b\u044c\u043d\u043e \u0435\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c \u0438 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c \u0443\u0432\u0435\u0440\u0435\u043d\u043d\u043e \u0432\u0435\u0441\u0442\u0438 \u043f\u043e\u0432\u0441\u0435\u0434\u043d\u0435\u0432\u043d\u0443\u044e \u0436\u0438\u0437\u043d\u044c \u0438 \u0438\u043c\u0435\u0442\u044c \u043f\u043e\u043b\u043e\u0432\u044b\u0435 \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u044b.<br><br>\n\n\u0411\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u044f \u043c\u043d\u043e\u0433\u043e\u043b\u0435\u0442\u043d\u0435\u043c\u0443 \u043e\u043f\u044b\u0442\u0443 \u0438 \u0441\u0442\u0440\u0435\u043c\u043b\u0435\u043d\u0438\u044e \u043a \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044e \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0442\u0435\u0445\u043d\u043e\u043b\u043e\u0433\u0438\u0439, \u043f\u0440\u043e\u044f\u0432\u043b\u044f\u0435\u043c\u044b\u043c \u0434-\u0440\u043e\u043c \u0421\u0430\u043d\u0433\u0443\u0430\u043d\u043e\u043c \u041a\u0443\u043d\u0430\u043f\u043e\u0440\u043d\u043e\u043c \u0438 \u043a\u043e\u043c\u0430\u043d\u0434\u043e\u0439 PPSI, \u0442\u0435\u0445\u043d\u0438\u043a\u0430 Free Jejunal Graft \u0441\u0442\u0430\u043b\u0430 \u043e\u0434\u043d\u0438\u043c \u0438\u0437 \u0432\u0435\u0434\u0443\u0449\u0438\u0445 \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u043e\u0432, \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u044e\u0449\u0438\u0445 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u044b, \u043e\u0442\u0432\u0435\u0447\u0430\u044e\u0449\u0438\u0435 \u043a\u0430\u043a \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u043c (Aesthetic), \u0442\u0430\u043a \u0438 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u043c (Functional) \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u044f\u043c, \u0438 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u044e\u0449\u0438\u0445 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c \u043e\u0431\u0440\u0435\u0441\u0442\u0438 \u043d\u043e\u0432\u0443\u044e \u043f\u043e\u043b\u043d\u043e\u0446\u0435\u043d\u043d\u0443\u044e \u0436\u0438\u0437\u043d\u044c.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9eaacc elementor-widget elementor-widget-image\" data-id=\"b9eaacc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"292\" src=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-1024x292.jpg\" class=\"attachment-large size-large wp-image-10604\" alt=\"Advancing Gender Affirmation Surgery\" srcset=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-1024x292.jpg 1024w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-300x86.jpg 300w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-768x219.jpg 768w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-1536x439.jpg 1536w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-2048x585.jpg 2048w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/gynecological-surgery-team-of-surgeons-performing-2026-01-08-23-31-16-utc-1000x286.jpg 1000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-616c699 elementor-widget elementor-widget-heading\" data-id=\"616c699\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. \u0421\u0438\u0441\u0442\u0435\u043c\u0430 \u0443\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u044c\u044e: \u00ab\u0410\u043b\u043c\u0430\u0437 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u00bb<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d98d9c2 elementor-widget elementor-widget-heading\" data-id=\"d98d9c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0414-\u0440 \u0421\u0430\u043d\u0433\u0443\u0430\u043d \u043d\u0435\u0443\u043a\u043b\u043e\u043d\u043d\u043e \u043f\u0440\u0438\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0438 \u0432\u043d\u0435\u0434\u0440\u044f\u0435\u0442 \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u044b \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0432 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0438\u0438 \u0441 \u043f\u0440\u0438\u043d\u0446\u0438\u043f\u0430\u043c\u0438 \u00ab\u0410\u043b\u043c\u0430\u0437\u0430 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u00bb \u041c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u043e\u0433\u043e \u043e\u0431\u0449\u0435\u0441\u0442\u0432\u0430 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 (ISAPS). \u042d\u0442\u0430 \u043a\u043e\u043d\u0446\u0435\u043f\u0446\u0438\u044f \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u0447\u0435\u0442\u044b\u0440\u0435 \u043e\u0441\u043d\u043e\u0432\u043e\u043f\u043e\u043b\u0430\u0433\u0430\u044e\u0449\u0438\u0445 \u0441\u0442\u043e\u043b\u043f\u0430 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432, \u043d\u0430\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u043d\u044b\u0445 \u043d\u0430 \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u0440\u0438\u0441\u043a\u043e\u0432 \u0432 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u0438 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044c \u043f\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0445, \u0432\u043b\u0438\u044f\u044e\u0449\u0438\u0445 \u043d\u0430 \u0443\u0441\u043f\u0435\u0445. \u041e\u043d\u0430 \u0432\u043a\u043b\u044e\u0447\u0430\u0435\u0442:<br><br><br><b> 1.\u041f\u0430\u0446\u0438\u0435\u043d\u0442 (Patient): <\/b>\u041f\u0430\u0446\u0438\u0435\u043d\u0442 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0446\u0435\u043d\u0442\u0440\u043e\u043c \u0438 \u0432\u0435\u0440\u0448\u0438\u043d\u043e\u0439 \u0430\u043b\u043c\u0430\u0437\u0430 \u0432 \u0434\u0430\u043d\u043d\u043e\u0439 \u043a\u043e\u043d\u0446\u0435\u043f\u0446\u0438\u0438, \u0442\u0430\u043a \u043a\u0430\u043a \u0438\u043c\u0435\u043d\u043d\u043e \u043e\u043d \u043d\u0435\u043f\u043e\u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043f\u043e\u0434\u0432\u0435\u0440\u0433\u0430\u0435\u0442\u0441\u044f \u043e\u043f\u0435\u0440\u0430\u0442\u0438\u0432\u043d\u043e\u043c\u0443 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0443. \u041f\u0430\u0446\u0438\u0435\u043d\u0442 \u0434\u043e\u043b\u0436\u0435\u043d \u0431\u044b\u0442\u044c \u0442\u0449\u0430\u0442\u0435\u043b\u044c\u043d\u043e \u043e\u0446\u0435\u043d\u0451\u043d \u043d\u0430 \u043f\u0440\u0435\u0434\u043c\u0435\u0442 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0438 \u043f\u0441\u0438\u0445\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0433\u043e\u0442\u043e\u0432\u043d\u043e\u0441\u0442\u0438, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043d\u0430 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0438\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f\u043c \u0434\u043b\u044f \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0434\u0430\u043d\u043d\u043e\u0433\u043e \u0442\u0438\u043f\u0430 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<br><br><br>\n<b> 2.\u041f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0430 (Procedure): <\/b>\u0412\u044b\u0431\u0440\u0430\u043d\u043d\u0430\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u0430\u044f \u043c\u0435\u0442\u043e\u0434\u0438\u043a\u0430 \u0434\u043e\u043b\u0436\u043d\u0430 \u0441\u0442\u0440\u043e\u0433\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u043e\u043c\u0443 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044e \u0438 \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u044b\u043c \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430\u043c \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430. \u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u043f\u0442\u043e\u0437\u0430 \u0433\u0440\u0443\u0434\u0438 \u043e\u0434\u043d\u043e\u0439 \u043b\u0438\u0448\u044c \u0443\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0438 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0430\u0442\u043e\u0432 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e \u2013 \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u0442\u0440\u0435\u0431\u043e\u0432\u0430\u0442\u044c\u0441\u044f \u043f\u043e\u0434\u0442\u044f\u0433\u0438\u0432\u0430\u044e\u0449\u0430\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f.<b>\n<\/b><br><br>\n<b> 3.\u0425\u0438\u0440\u0443\u0440\u0433 (Surgeon): <\/b>\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044e \u0434\u043e\u043b\u0436\u0435\u043d \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0442\u044c \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0445\u0438\u0440\u0443\u0440\u0433 (Surgeon), \u043f\u0440\u043e\u0448\u0435\u0434\u0448\u0438\u0439 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u0443\u044e \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u043a\u0443 \u043f\u043e \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439, \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u043e\u0439 \u0438 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u0438 \u0438\u043c\u0435\u044e\u0449\u0438\u0439 \u0441\u0435\u0440\u0442\u0438\u0444\u0438\u043a\u0430\u0442 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0430, \u0432\u044b\u0434\u0430\u043d\u043d\u044b\u0439 \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u043c \u0441\u043e\u0432\u0435\u0442\u043e\u043c. \u042d\u0442\u043e \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0440\u0443\u0435\u0442 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u044b\u0445 \u043d\u0430\u0432\u044b\u043a\u043e\u0432 \u0438 \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0431\u0430\u0437\u044b.\n<br><br>\n<b> 4.\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0435 \u0443\u0447\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 (Facility): <\/b>\u0423\u0447\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435, \u0432 \u043a\u043e\u0442\u043e\u0440\u043e\u043c \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f, \u0434\u043e\u043b\u0436\u043d\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u0430\u043c (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0438\u043c\u0435\u0442\u044c \u0430\u043a\u043a\u0440\u0435\u0434\u0438\u0442\u0430\u0446\u0438\u044e JCI \u0438\u043b\u0438 HA), \u0431\u044b\u0442\u044c \u0447\u0438\u0441\u0442\u044b\u043c, \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u044b\u043c \u0438 \u0440\u0430\u0441\u043f\u043e\u043b\u0430\u0433\u0430\u0442\u044c \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u043e\u0439 \u0441\u0442\u0435\u0440\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u0438. \u0412 \u0441\u043b\u0443\u0447\u0430\u0435 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u043a\u0440\u0443\u043f\u043d\u044b\u0445 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0439 \u043f\u043e\u0434 \u043e\u0431\u0449\u0435\u0439 \u0430\u043d\u0435\u0441\u0442\u0435\u0437\u0438\u0435\u0439 \u0443\u0447\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u0434\u043e\u043b\u0436\u043d\u043e \u0440\u0430\u0441\u043f\u043e\u043b\u0430\u0433\u0430\u0442\u044c \u043c\u0443\u043b\u044c\u0442\u0438\u0434\u0438\u0441\u0446\u0438\u043f\u043b\u0438\u043d\u0430\u0440\u043d\u043e\u0439 \u043a\u043e\u043c\u0430\u043d\u0434\u043e\u0439, \u0432\u043a\u043b\u044e\u0447\u0430\u044f \u0430\u043d\u0435\u0441\u0442\u0435\u0437\u0438\u043e\u043b\u043e\u0433\u0430 \u0438 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0430, \u0434\u043b\u044f \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044f \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0445 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0439 \u0438 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u0438\u0439 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430.<b>\n<\/b><br>\n\u041e\u0446\u0435\u043d\u043a\u0430 \u0433\u043e\u0442\u043e\u0432\u043d\u043e\u0441\u0442\u0438 \u0438 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0430 \u043f\u043e \u0432\u0441\u0435\u043c \u0447\u0435\u0442\u044b\u0440\u0451\u043c \u0444\u0430\u043a\u0442\u043e\u0440\u0430\u043c \u0441\u043b\u0443\u0436\u0438\u0442 \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0435\u0439 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0435\u0440\u0435\u0434 \u043f\u0440\u0438\u043d\u044f\u0442\u0438\u0435\u043c \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0438 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u0432 \u043a\u0430\u0436\u0434\u043e\u043c \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c322713 elementor-widget elementor-widget-heading\" data-id=\"c322713\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3. \u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u044b \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u0432\u0435\u0434\u0435\u043d\u0438\u044f (Intra-operative Excellence)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ccda4a elementor-widget elementor-widget-heading\" data-id=\"4ccda4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0412\u044b\u0441\u043e\u043a\u0430\u044f \u0441\u043b\u043e\u0436\u043d\u043e\u0441\u0442\u044c \u0442\u0435\u0445\u043d\u0438\u043a\u0438 Free Jejunal Graft \u0442\u0440\u0435\u0431\u0443\u0435\u0442 \u0431\u0435\u0437\u0443\u043f\u0440\u0435\u0447\u043d\u043e\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b \u043f\u043e\u0434\u0434\u0435\u0440\u0436\u043a\u0438:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7d4e4e elementor-widget elementor-widget-image\" data-id=\"d7d4e4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-1024x683.jpg\" class=\"attachment-large size-large wp-image-10610\" alt=\"Advancing Gender Affirmation Surgery\" srcset=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-1024x683.jpg 1024w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-300x200.jpg 300w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-768x512.jpg 768w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-1536x1024.jpg 1536w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-2048x1366.jpg 2048w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/closeup-of-surgical-tools-on-table-and-team-of-sur-2026-03-17-05-55-48-utc-1000x667.jpg 1000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cd3430 elementor-widget elementor-widget-heading\" data-id=\"7cd3430\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>\u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044c\u043d\u044b\u0439 \u043b\u0438\u0441\u0442 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438: <\/b>\u0421\u0442\u0440\u043e\u0433\u0430\u044f \u0441\u0438\u0441\u0442\u0435\u043c\u0430 \u00abTime-in\u00bb \u0438 \u00abTime-out\u00bb \u0434\u043b\u044f \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u043b\u0430\u043d\u0430 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<b><br><\/b><br>\n\n<b>\u0410\u043d\u0435\u0441\u0442\u0435\u0437\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0435\u043d\u0438\u0435 \u043e\u0434\u0438\u043d-\u043a-\u043e\u0434\u043d\u043e\u043c\u0443: <\/b>\u0418\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u043e\u0435 \u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0430\u043d\u0435\u0441\u0442\u0435\u0437\u0438\u043e\u043b\u043e\u0433\u043e\u043c \u0441 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u043f\u0435\u0440\u0435\u0434\u043e\u0432\u043e\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b \u043c\u043e\u043d\u0438\u0442\u043e\u0440\u0438\u043d\u0433\u0430, \u0432\u043a\u043b\u044e\u0447\u0430\u044e\u0449\u0435\u0439 \u043d\u0435\u043f\u0440\u0435\u0440\u044b\u0432\u043d\u044b\u0439 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044c \u0443\u0440\u043e\u0432\u043d\u044f \u043e\u043a\u0441\u0438\u0433\u0435\u043d\u0430\u0446\u0438\u0438 \u0438 CO\u2082 \u0434\u043b\u044f \u043f\u0440\u0435\u0434\u043e\u0442\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u044f \u043d\u0435\u0436\u0435\u043b\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u0441\u043e\u0431\u044b\u0442\u0438\u0439.<b><br><\/b><br>\n\n<b>\u041a\u0440\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0438\u043d\u0444\u0440\u0430\u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0430: <\/b>\u0418\u043d\u0442\u0435\u043b\u043b\u0435\u043a\u0442\u0443\u0430\u043b\u044c\u043d\u0430\u044f \u0441\u0438\u0441\u0442\u0435\u043c\u0430 \u0440\u0435\u0437\u0435\u0440\u0432\u043d\u043e\u0433\u043e \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u043f\u0438\u0442\u0430\u043d\u0438\u044f \u0441 \u043f\u0435\u0440\u0435\u043a\u043b\u044e\u0447\u0435\u043d\u0438\u0435\u043c \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 10 \u0441\u0435\u043a\u0443\u043d\u0434 \u0434\u043b\u044f \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0435\u043d\u0438\u044f \u043d\u0435\u043f\u0440\u0435\u0440\u044b\u0432\u043d\u043e\u0439 \u0440\u0430\u0431\u043e\u0442\u044b \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u043e\u0432 \u0418\u0412\u041b, \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u0441\u0432\u0435\u0442\u0438\u043b\u044c\u043d\u0438\u043a\u043e\u0432 \u0438 \u0432\u0441\u0435\u0433\u043e \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0438\u043d\u0441\u0442\u0440\u0443\u043c\u0435\u043d\u0442\u0430\u0440\u0438\u044f.<b><\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e363cc elementor-widget elementor-widget-heading\" data-id=\"1e363cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">4. \u0423\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f\u043c\u0438 \u0438 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0437\u043d\u0430\u043d\u0438\u0439 (Continuous Improvement)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-547683e elementor-widget elementor-widget-heading\" data-id=\"547683e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0414-\u0440 \u0421\u0430\u043d\u0433\u0443\u0430\u043d \u043f\u0440\u0438\u0434\u0430\u0451\u0442 \u0431\u043e\u043b\u044c\u0448\u043e\u0435 \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435 \u0441\u0438\u0441\u0442\u0435\u043c\u0435 \u043e\u0431\u043c\u0435\u043d\u0430 \u0437\u043d\u0430\u043d\u0438\u044f\u043c\u0438 \u0432\u043d\u0443\u0442\u0440\u0438 \u043c\u0443\u043b\u044c\u0442\u0438\u0434\u0438\u0441\u0446\u0438\u043f\u043b\u0438\u043d\u0430\u0440\u043d\u043e\u0439 \u043a\u043e\u043c\u0430\u043d\u0434\u044b.\n<br><br>\n<b>\u0415\u0436\u0435\u043c\u0435\u0441\u044f\u0447\u043d\u044b\u0439 \u0440\u0430\u0437\u0431\u043e\u0440 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 (Monthly Case Review): <\/b>\u041f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u0435\u0436\u0435\u043c\u0435\u0441\u044f\u0447\u043d\u044b\u0445 \u043d\u0430\u0443\u0447\u043d\u043e-\u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u043a\u043e\u043d\u0444\u0435\u0440\u0435\u043d\u0446\u0438\u0439 \u0434\u043b\u044f \u0430\u043d\u0430\u043b\u0438\u0437\u0430 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u0432 \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0438 \u0441\u043b\u043e\u0436\u043d\u044b\u0445 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0441\u043b\u0443\u0447\u0430\u0435\u0432, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0434\u043b\u044f \u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f \u043f\u043e\u043c\u043e\u0449\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c, \u0443 \u043a\u043e\u0442\u043e\u0440\u044b\u0445 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u044b \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0438\u043b\u0438 \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043d\u0435 \u043f\u043e\u043b\u043d\u043e\u0441\u0442\u044c\u044e \u0443\u0434\u043e\u0432\u043b\u0435\u0442\u0432\u043e\u0440\u0435\u043d\u044b \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0430\u043c\u0438 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<b><\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a54327c elementor-widget elementor-widget-image\" data-id=\"a54327c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-1024x683.jpg\" class=\"attachment-large size-large wp-image-10617\" alt=\"Advancing Gender Affirmation Surgery\" srcset=\"https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-1024x683.jpg 1024w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-300x200.jpg 300w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-768x512.jpg 768w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-1536x1024.jpg 1536w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-2048x1365.jpg 2048w, https:\/\/www.phuketpsi.com\/wp-content\/uploads\/2026\/05\/a-team-of-skilled-surgeons-cautiously-performing-a-2026-01-11-08-39-37-utc-1000x667.jpg 1000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48fc82b elementor-widget elementor-widget-heading\" data-id=\"48fc82b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0417\u0430\u043a\u043b\u044e\u0447\u0435\u043d\u0438\u0435<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53f2df2 elementor-widget elementor-widget-heading\" data-id=\"53f2df2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0420\u0430\u0437\u0440\u0430\u0431\u043e\u0442\u0430\u043d\u043d\u0430\u044f \u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u043c\u0430\u044f \u0434-\u0440\u043e\u043c \u0421\u0430\u043d\u0433\u0443\u0430\u043d\u043e\u043c \u041a\u0443\u043d\u0430\u043f\u043e\u0440\u043d\u043e\u043c \u0432 \u0418\u043d\u0441\u0442\u0438\u0442\u0443\u0442\u0435 \u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438 \u041f\u0445\u0443\u043a\u0435\u0442\u0430 (PPSI) \u043c\u0435\u0442\u043e\u0434\u0438\u043a\u0430 \u0432\u0430\u0433\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0438 \u0441 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u0441\u0432\u043e\u0431\u043e\u0434\u043d\u043e\u0433\u043e \u0442\u0440\u0430\u043d\u0441\u043f\u043b\u0430\u043d\u0442\u0430\u0442\u0430 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438 (Free Small Intestinal Jejunal Graft Vaginoplasty) \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u043f\u0440\u043e\u0433\u0440\u0435\u0441\u0441 \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u043e-\u0430\u0444\u0444\u0438\u0440\u043c\u0430\u0442\u0438\u0432\u043d\u043e\u0439 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438. \u0411\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u044f \u0441\u043e\u0447\u0435\u0442\u0430\u043d\u0438\u044e \u0431\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432 \u0430\u0443\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u043d\u043e\u0439 \u0441\u043b\u0438\u0437\u0438\u0441\u0442\u043e\u0439 \u043e\u0431\u043e\u043b\u043e\u0447\u043a\u0438 \u0442\u043e\u0449\u0435\u0439 \u043a\u0438\u0448\u043a\u0438, \u0441\u0442\u0440\u043e\u0433\u043e \u043f\u043e\u044d\u0442\u0430\u043f\u043d\u043e\u0433\u043e \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u0430 \u0438 \u0432\u0441\u0435\u043e\u0431\u044a\u0435\u043c\u043b\u044e\u0449\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u00ab\u0410\u043b\u043c\u0430\u0437 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u00bb (The Patient Safety Diamond), \u0434\u0430\u043d\u043d\u0430\u044f \u0442\u0435\u0445\u043d\u0438\u043a\u0430 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u043f\u0440\u0435\u043e\u0434\u043e\u043b\u0435\u0442\u044c \u0434\u0430\u0432\u043d\u0438\u0435 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u0435 \u0438 \u044d\u0441\u0442\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u0438\u044f \u0442\u0440\u0430\u0434\u0438\u0446\u0438\u043e\u043d\u043d\u043e\u0439 \u0432\u0430\u0433\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0438. \u042d\u0442\u043e\u0442 \u043c\u0435\u0442\u043e\u0434 \u0441\u043b\u0443\u0436\u0438\u0442 \u0432\u043e\u0441\u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u043c\u043e\u0439, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u043e\u0440\u0438\u0435\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u043c\u043e\u0434\u0435\u043b\u044c\u044e \u0434\u043b\u044f \u0432\u044b\u0441\u043e\u043a\u043e\u0441\u043b\u043e\u0436\u043d\u044b\u0445 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u044b\u0445 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432 \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0433\u0435\u043d\u0434\u0435\u0440\u043d\u043e\u0439 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u044b.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Enduring beauty is not merely an overnight achievement in the operating room; it is a holistic journey that begins the moment you commit to transformation. <b>Dr. Chutima Kositchaiwat<\/b> of the <b>Phuket Plastic Surgery Institute (PPSI)<\/b> redefines aesthetic surgery as more than just a medical procedure it is a path toward discovering the finest version of yourself.<\/p>\n","protected":false},"author":12,"featured_media":10610,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[277],"tags":[],"class_list":["post-14309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gender-affirming-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Advancing Gender Affirmation Surgery - PPSI Phuket<\/title>\n<meta name=\"description\" content=\"Discover advances in gender affirmation surgery at PPSI Phuket, with expert surgical care, patient safety, and personalized treatment planning.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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