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What Was It Like for a Thai Transgender Woman to Undergo Gender-Affirming Surgery?


Thai transgender woman discussing gender-affirming surgery and her life in Bangkok

What did Alexen Rael say about her gender-affirming surgery?

Alexen Rael said she had wanted to live fully as a woman since she was young and described gender-affirming surgery as something she had dreamed about for years. She discussed undergoing breast surgery at 18 and later having another gender-affirming procedure, describing both the physical recovery and how the experience affected her confidence.

She also explained that she previously had a cosmetic procedure involving silicone implants in her buttocks but ultimately had them removed because they did not feel natural to her.

Why did Alexen Rael decide to have gender-affirming surgery?

Alexen said she had always wanted to be a woman and described the surgery as part of a long-standing personal goal.

She said that when she was around 15, she imagined getting breast surgery when she turned 20. She ultimately had breast surgery at 18 after receiving an opportunity from the doctor who performed the procedure.

Later, she decided she wanted what she described as a more complete transition.

Why did Alexen have her silicone butt implants removed?

Alexen explained that she initially wanted a larger butt and decided to try silicone implants rather than relying solely on exercise.

Although she liked how the result looked when she was dressed, she said the implants did not feel natural to her. She ultimately chose to have them removed.

Her explanation was based on how the implants felt to her personally rather than simply how they looked from the outside.

How did Alexen describe recovering from her gender-affirming surgery?

Alexen described the recovery as extremely painful. She said she entered the operating room at approximately 5 p.m. and woke around 1 a.m., after which she experienced significant pain and frustration.

She said doctors and nurses gave her morphine during her recovery.

The interview does not provide a complete medical timeline or establish how long her overall recovery lasted.

How did the surgery affect Alexen’s confidence?

Alexen said she felt like herself after the operation and that it made her feel more confident.

She specifically discussed being able to wear different types of lingerie and said that women can enjoy feeling pretty and sexy for themselves, rather than doing so specifically for men.

She also said she loves Victoria’s Secret lingerie.

Did Alexen feel physically weaker after the surgery?

Yes. Alexen said that after the operation, she felt that her body had become weaker.

She explained that this was one reason she began working out. She also said exercise was connected to her desire to improve her appearance.

The interview does not specify her exact workout program or medical reason for the weakness.


Bangkok street scene at night with neon lights, busy traffic, taxis, tuk-tuks, pedestrians, and illuminated city buildings.

Why did Alexen start going to the gym?

Alexen said she started working out because she wanted a bigger butt naturally and because she felt physically weaker after her operation.

Her goal was therefore connected both to fitness and appearance.

She contrasted this approach with her previous experience with silicone implants, which she ultimately decided to remove.

What does Alexen want to do on her next trip?

Alexen said she was planning to travel to Greece for at least a month.

Her motivation was primarily cultural and historical. She said she is fascinated by Greek mythology, Greek gods, and Stoicism and wanted to visit museums and learn more about Greek culture.

She also mentioned potentially visiting friends and family in Austria afterward, although she had not finalized those plans.

Why is Alexen interested in Greek mythology and Stoicism?

Alexen said she is obsessed with Greek mythology, Greek gods, and the Stoic system. She reads extensively about these subjects and wanted to experience Greece in person.

She described herself as someone who enjoys listening and asking people questions, saying she wanted to learn about Greek history and mythology while traveling.

What philosophy did Alexen share about modern technology?

When asked for words of wisdom, Alexen said:

“In the world that unnecessary thing become our necessary thing.”

She also said she does not like technology very much.

The statement reflects her own perspective expressed during the interview rather than a broader claim about technology.

Frequently Asked Questions

How old was Alexen when she had breast surgery?

Alexen said she had breast surgery at 18.

Why did Alexen remove her silicone butt implants?

She said the implants looked good from the outside but did not feel natural to her, so she decided to have them removed.

Did Alexen have gender-affirming surgery?

Yes. She discussed undergoing gender-affirming surgery as part of her goal of living fully as a woman.

Was Alexen’s surgery painful?

Yes. She described significant pain after the operation and said she was given morphine by the medical staff.

Why did Alexen start working out?

She said she wanted to develop a bigger butt naturally and also wanted to regain strength after feeling physically weaker following her operation.

Does Alexen feel more confident after surgery?

Yes. She said she feels more like herself and more confident following the operation.

Where does Alexen want to travel?

She said she planned to spend at least a month in Greece because of her interest in Greek culture, history, mythology, and Stoicism.

Does Alexen want to travel for nightlife or culture?

For her planned Greece trip, she emphasized culture, history, museums, and learning rather than partying.


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