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05:07:23 AM Mar 10th 2013
I've heard of people who got sick of the extensive requirements to undergo surgery in North America and opted to go directly overseas to get assignment. Is this worth mentioning?
10:27:27 AM Mar 16th 2013
It does happen, yes; the most popular destination is Thailand, where reputable doctors will perform the correct surgical procedures without needing "real life test" evidence etc.

As far as mentioning it in the trope... I'd say it doesn't really fit, as this trope is about fictional depictions of badly researched gender reassignment operations or related transsexual experiences. Travelling to Thailand or elsewhere does happen and can indeed be faster than going through official channels in Western countries, but that doesn't make it any easier.
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