This serves more or less as a significant warning on the level as The Butcher, Bart Van De Ven.

James P Thomas of Portland Oregon responsible for the Femlar procedure often does not even perform the surgery. It depends largely on if he likes you or if he believes he can gaslight you. I even made the mistake of telling him I was scammed before in a face and voice surgery so nondoubt my intent to be open and trusting with him made me a clear mark. I have seen similar reports of "non change" in vocal quality before and after, and like me he certainly attempts to gaslight you despite evidence that you may still sound masculine from friends family and peers. Such was my experience. In short I'll outline the main problems and I can answer any questions in the comments. Started with a vocal ranged between C3 and C5, with a very male resonance. Post op my range is C3 and C5 after two "aggressive" surgeries. So to highlight what happened.

The first surgery was the female, promised to be a significant change with "even over 40% vocal cord length removed" After surgery there was little pain beyond the neck incision, slight hoarseness from swelling but no change in voice and could speak almost immediately. Zero change even though I was told the pitch would be clear and immediate even then. Voice recovered within the week but I avoided using it as much as possible for even a full month. No change, no pain. Same voice Mistaken for male on the phone and on test sites such as Omegle, strangers are a much more reliable source especially if you don't look trans, they'll tell you if you sound like a guy. And 10/10 times even without using a camera people thought I was trans or male. Not so to doctor Thomas, no the change was immediate and dramatic and couldn't believe how feminine i sounded. Typical formula used to gaslight trans patients, but not connected to reality. Second surgery, then I'll get to the independent findings from both. Was promised to be another aggressive surgery, a CO2 lasering procedure. With his very own pharynx reduction procedure which (no patients have ever given feedback on, with retrospect another lie of omission on his part as doubtless the feedback was as negative as mine. If he tells you he has never had feedback on it, beware) I think we know how this went. No voice for about a month, voice returned identical, some pitch instability during the rest of the 6 week healing phase then back to, yep you guessed it C3 to C5 range. Unchanged resonance. Dr telling me it was a huge success.

So what did the independent scope find? Using the footages he provided me to get a second opinion (only given I might add after I suggested I couldn't get a 2nd opinion until sept 2023, putting it just over the 2 year statute of limitations in Portland) It was seen that no reduction in larynx size was present between either, if any vocal cord length reduction had even taken place it was less than "5%", all landmarks along the vocal cords were still present, blood vessel patterns etc etc. No suspension if the larynx, still in same position as before the surgery. The audio recordings? No change, capable of same range a before. Still perceived as male.

Second surgery findings? A complete sham. The vocal cords had not been reduced in size or bulk, and the pharynx was not reduced, what had been done instead is a single slit cut into the pharynx wall with sutures applied.

What I cannot fathom is the lengths gone to to make it seem genuine when they could have done what they promised for the same amount of effort. I'm sure some people have a good experience there but if anything that's even worse if he isn't just incompetent itmeanshe is picking and choosing patients to provide quality of care to and robbing the rest of us. Playing favourites with who walks through his door.

Suffice it to say that after providing the evidence and requesting a refund, we have no heard from them since and we are 8 unanswered emails down.

We reported him to the Oregon medical board and sent in the evidence and report, and I will upload all evidence on a later post as soon as it's collated to give you something beyond my warnings. I'm after all a strange woman on the internet.

But in the meantime please do your own research on this man before you jump into things, I know there is a surgeon in Australia who does the same surgery but I'm not sure about them as I've not had time to research them myself.

Like so many others I thought James was going to be the symbol of hope I was looking for and not worth looking at others because my goodness the recordings on his website are a dream come true of complete transformation. Whereas now it's dawning on me that all of those may be altered digitally somehow.

I'm thousands of dollars down and can barely afford my own needs,this surgery was supposed to help me back into social life and the workplace as like so many others the PTSD of the masculine voice has kept me largely mute for easily 5 years beyond talking to strangers online for evidence and sending recordings.

I've barely even gotten into his abusive attitude and how many times he made me cry in person with a nonstop tirade of gaslighting and cyclical conversations until I said to him what he wanted to hear. But frankly his abusive ego driven personality isn't in comparison to his outright surgical fraud.

Further disturbing facts have been revealed by other patients that he discriminates based on your ability to pass and this will lead to him scamming you if you do not meet the cut.

You may think he's the solution to your problem but this man is a conman and a predator. I was you once and I "knew" he'd solve all my problems with my voice. I'm sorry but it's likely not going to be the case. He'll tell you to wait for years to see evidence of change when the actual healing time for vocal procedures is 6-8 weeks like everything else. He'll try to discredit you with fake accounts if you complain But understand well that complaints this severe do not exist with no problems. He is not able to give you what you want and should not practice at all. Go elsewhere, this warning may be your last chance to avoid this same situation, don't pass on it.

Don't let him scam you out of your money or your hope. Look for other options with real reviews you can find. I thought this surgeon only having word of mouth reviews was a good thing, it is not.

Stay away from James P Thomas. Scammer MD

1 year post "aggressive pitch raising surgery" pitch is the same with 2 notes lower at base

https://m.soundcloud.com/jess-700730755/decreased-pitch-aac

https://m.soundcloud.com/jess-700730755/lower-overall-pitch-aac