Most guides to Thai island life describe a feeling. This one prints what the operators, the airport authority, the municipality and the Immigration Bureau actually publish — ferry fares, terminal sizes, land-title counts, reporting deadlines — and says plainly where we could not confirm something.
Four things separate the Thai islands from each other and from the mainland, and none of them is scenery: whether you can drive there (only Phuket), who owns the airport (AOT on Phuket, Bangkok Airways on Samui), what the land title says (on Samui, a little over half the island by area is chanote), and how far the nearest real hospital is. Everything else — cost, logistics, how the wet season feels — follows from those.
Start with size, because it is the one thing that is actually measured and the one thing guides get wrong. Koh Samui City Municipality publishes the figures for its own island: 227 square kilometres, or 142,031 rai. The municipality itself covers about 252 sq km (157,273 rai), because its boundary takes in 18 further islands around Samui. And on the same page the municipality states, flatly, that Samui is Thailand’s third-largest island, after Phuket and Koh Chang — not second, which is what a great deal of published travel copy says.
Population is harder, and we are going to be honest about why. The municipality gives a registered population of 68,698, dated 5 March 2021, and adds that the unregistered resident population runs at roughly three times that. The same page puts visitors at about 3,000 Thai and foreign tourists a day, a number that looks low set against Samui airport’s traffic. We reproduce both as published rather than adjusting them, and we are not going to invent a 2026 figure.
Land use tells you more about daily life than population does. On the municipality’s numbers, agriculture is still the largest single use of Samui: 66,306 rai of coconut and 12,463 rai of durian. Significant forest survives in only two reserves, at Hin Lat waterfall and the Na Muang waterfall park. Housing and commerce ring the coast, with the administrative and tourism-business centre at Nathon on the west side and the densest development on the north and south-east coasts, in the Maenam, Bo Phut and Maret sub-districts. If you are choosing between those names on a map, the best areas to live in Koh Samui guide takes them one at a time.
Phuket is joined to the mainland at Phang Nga by road. Koh Samui, Koh Phangan, Koh Tao and Koh Lanta Yai are not. That is not a scenic distinction, it is the whole logistics model: on Phuket a removal lorry from Bangkok reaches your door, and everywhere else your sofa, your car, your washing machine and every pallet of building material crosses on a ferry with a published tariff. Most of the “island premium” people notice at the supermarket till is that crossing, repeated.
Here is what the ferry operators themselves publish for the Gulf crossings, which is the leg most people actually use:
| Crossing | Time | Passenger fare | Operator states |
|---|---|---|---|
| Donsak → Koh Samui (Lipa Noi pier) | about 1h30 | 200 baht | Raja Ferry Port |
| Donsak → Koh Phangan (Thong Sala pier) | about 2h30 | 270 baht | Raja Ferry Port |
| Surat Thani Airport → Koh Samui (bus + ferry) | through service | 520 baht | Raja Ferry Port |
| Koh Samui → Surat Thani Airport (ferry + bus) | through service | 530 baht | Raja Ferry Port |
| Donsak → Koh Samui | about 1h30, roughly hourly | see operator | Seatran Ferry — vessels take up to 90 vehicles |
| High-speed catamaran routes | approx. 45–90 min | see operator | Lomprayah — vehicle ferry 90–120 min |
Two practical notes that follow from those tables rather than from anyone’s opinion. Vehicles are charged separately by size on every operator, so “bringing the car” is a recurring line in an island budget, not a one-off. And Samui is served by several piers, not one: Lomprayah alone lists Pralarn, Bang Rak and Nathon, which is why a fare quoted to you may be for a pier on the wrong side of the island from the house you are viewing.
Seatran publishes a call centre on 1381, staffed 04:00–19:00. If you are working out the whole door-to-door chain rather than one leg, the Thailand airport guide and domestic flights in Thailand cover the air half of it.
Phuket International is run by Airports of Thailand, and AOT publishes its own numbers. It is the only airport on Phuket island handling both domestic and international flights, and AOT ranks it Thailand’s third busiest after Suvarnabhumi and Don Mueang. The international terminal is 73,103 sq m and the domestic terminal 30,339 sq m; both operate 24 hours. The site runs to 2,238,800.35 sq m with a single runway, five aprons totalling 168,600 sq m, and 38 aircraft parking bays — 11 contact gates and 27 remote stands. AOT states the expansion under way will lift capacity from 12.5 million to 18 million passengers a year by 2029.
Samui works differently, and the difference is structural rather than cosmetic. Bangkok Airways describes Samui Airport in its own investor material as “a privately owned, public-use airport”, developed by the airline, which also owns Sukhothai and Trat. So Samui’s air link is a private asset with a single developer behind it rather than a state-run one with a published national capacity programme. Residents feel that in route choice and in fares. We are not going to put a percentage on it, because we have not found a figure we can stand behind — but if you are comparing the two islands on cost, that ownership fact belongs in the comparison, and the Phuket versus Koh Samui guide is where we set them side by side.
Koh Phangan and Koh Tao have no airport at all: the practical route is a flight into Samui or Surat Thani and then a boat. Koh Lanta has none either, and works off Krabi.
This is the single most misreported thing about Lanta, so here is the state of it as carefully as we can put it. The Department of Rural Roads project connects Koh Klang sub-district on the mainland to Koh Lanta Noi, in Koh Lanta district, Krabi. Its published design is 2,240 metres in total — 1,825 m of bridge plus 415 m of approach roads — carrying two 3.75-metre lanes in a 13.5-metre overall width, using extradosed and balanced-cantilever spans. The budget is 1,849.50 million baht.
The status is where it gets untidy. The DRR’s own project site still describes the scheme as awaiting cabinet authorisation, with a 2023–2025 construction window and completion “within 2026”. Thai trade press, separately, reported the Ministry of Transport preparing to sign the construction contract on 31 August 2026, with the crossing in service in 2029. Those two accounts do not agree, and we have not been able to reconcile them against a dated DRR announcement. So: treat 2029 as projected, not fixed, and treat the mainland leg as a vehicle ferry until you have driven across a bridge yourself.
What already exists is the crossing between Koh Lanta Noi and Koh Lanta Yai, which is a bridge. It is the mainland leg that still floats. If you are weighing Lanta, the province around it matters as much as the island — see the Krabi living guide and the Koh Lanta cost of living tables.
Here is the most useful number on this page, and almost nobody publishes it. Koh Samui’s municipality lists the title documents issued across the island:
Set the chanote figure against the island’s 142,031 rai and a little over half of Samui by area sits under a full deed — that is our arithmetic on the municipality’s own published figures, not a claim of theirs. The remainder is on lesser instruments, and an NS3 or NS3 Ko is not a chanote wearing a different hat. On the mainland you can often assume your way past this. On an island you cannot, because the mix is genuinely different.
We are not going to explain Thai land law on a lifestyle page. The pages that do it properly are Thai title deeds and the chanote, title deed encumbrance checks, whether foreigners can own land in Thailand and, for the apartment route, foreign condo ownership and the foreign ownership quota. BAANLYY is a listing portal and is not a law firm; a Thai lawyer reads the deed, not a website.
This is the piece of island admin that catches people, and the Immigration Bureau publishes the rule clearly enough that we can quote it rather than paraphrase. A foreigner staying more than 90 days must notify, and the filing window is 15 days before, to 7 days after, the 90-day period expires. It can be done in person, by an authorised representative, by registered post, or online, with exceptions such as a change of passport. Filing late attracts a 2,000 baht fine. A foreigner arrested for not having reported at all is fined 5,000 baht. The bureau also notes that a first extension-of-stay application does the job of the notification.
On the mainland the choice of method is a convenience. On an island it is a day of your life, because the office covering your address may be across water and the postal and online routes may be the only sane ones. Work out which office serves you before your first deadline — immigration offices in Thailand and TM30 and 90-day reporting go through it, and the 90-day reporting guide covers the filing itself.
One thing we did not confirm and therefore do not print: which office covers each island, and its hours. The Phuket immigration site failed a certificate check when we tried to read it during this run, and we would rather leave a gap than publish an address that sends someone on a ferry to the wrong building.
Joint Commission International publishes its own directory of accredited organisations, and it lists Bangkok Hospital Phuket (IHCO ID 60000444) and Bangkok Hospital Siriroj, both on Phuket. That is the firm part.
The honest part: we tried to load the directory filtered to Thailand during this run and the site returned a maintenance and bot-verification page, so we have not been able to check whether any hospital on Koh Samui, Koh Phangan, Koh Tao or Koh Lanta appears on it. We are not going to assert either way, and we would treat any page that does without naming its source with suspicion. What is not in dispute is the gradient: Phuket has the deepest private provision of the four islands here, and the smaller the island the more a serious case means a transfer by boat or by air.
Compare the specific institutions rather than the island: international hospitals in Phuket, international hospitals in Koh Samui, and health insurance in Thailand — on an island, evacuation cover is not an optional line in the policy.
Still choosing between a coast and a city? Where to live in Thailand puts the mainland bases beside these, and Explore Thailand is the front door to the rest of it.
An island page is easy to pad and hard to source, so here is the ledger, openly:
227 square kilometres, or 142,031 rai, for the island itself. Koh Samui City Municipality covers about 252 sq km (157,273 rai) in total because its boundary takes in 18 further islands around it. The municipality also states plainly that Samui is Thailand's third-largest island, after Phuket and Koh Chang — a detail a surprising number of guides get wrong by promoting Samui to second.
The municipality's own basic-information page gives a registered population of 68,698, dated 5 March 2021, and adds that the unregistered resident population is roughly three times that figure. It also states a visitor figure of about 3,000 Thai and foreign tourists per day. We reproduce those as published; the population date is five years old at the time of writing and the daily visitor number looks low against Samui airport's traffic, so treat both as the municipality's published position rather than a current count.
Raja Ferry Port publishes 200 baht per passenger for Donsak to Koh Samui (Lipa Noi pier), a crossing of about 1 hour 30, and 270 baht per passenger for Donsak to Koh Phangan (Thong Sala pier), about 2 hours 30. Its combined bus-and-ferry service from Surat Thani Airport to Koh Samui is listed at 520 baht, and 530 baht in the other direction. Seatran Ferry describes the same Donsak crossing as about 1 hour 30 with departures roughly hourly and capacity for up to 90 vehicles. Vehicles are charged separately by size on every operator.
Phuket, and among the four islands on this page only Phuket. It is joined to the mainland at Phang Nga by road, which is why a Bangkok removal lorry can reach your door there and cannot reach it on Samui, Phangan, Tao or Lanta Yai. Everywhere else, every sofa, every car and every pallet of building material arrives on a ferry, and that single fact sits underneath most of the price difference people notice in the supermarket.
No. The Department of Rural Roads project to link Koh Klang on the mainland to Koh Lanta Noi is a 2,240-metre crossing — 1,825 m of bridge plus 415 m of approach roads — budgeted at 1,849.50 million baht. The DRR's own project site still describes it as awaiting cabinet authorisation with a 2023–2025 construction window, while Thai trade press reported the ministry preparing to sign the construction contract on 31 August 2026 for service in 2029. Those two accounts do not agree and we have not been able to reconcile them against a DRR announcement. Until it opens, the mainland leg is a vehicle ferry; the bridge from Lanta Noi across to Lanta Yai already exists.
The Immigration Bureau allows the notification to be made in person, through an authorised representative, by registered post, or online, with exceptions such as a passport change. The filing window is 15 days before, to 7 days after, the 90-day period expires. Filing late attracts a 2,000 baht fine; a foreigner arrested for not having reported at all is fined 5,000 baht. On an island the choice of method matters more than it does on the mainland, because the office that serves you may be a ferry ride away — check which office covers your address before your first deadline rather than after it.
Because a lot of island land has never been upgraded to a full chanote. Koh Samui's municipality publishes the count: 42,274 chanote plots covering 72,625 rai, alongside 10,017 plots on an NS3Ko certificate covering 18,038 rai and 1,467 on an older NS3 covering 4,992 rai. On the municipality's own figures that puts a little over half the island's 142,031 rai under full chanote title and a substantial remainder on lesser documents. It is the single most island-specific thing to check before you commit to anything with land under it.
Not uniformly, and the honest answer is narrower than most pages give. Joint Commission International's own accredited-organisations directory lists Bangkok Hospital Phuket and Bangkok Hospital Siriroj, both on Phuket. We were not able to load the directory's Thailand filter during this run to check whether any hospital on Samui, Phangan, Tao or Lanta appears on it, so we are not going to claim either way. What is not in doubt is the gradient: Phuket has the deepest private provision of the four, and the smaller the island the more a serious case means a transfer.
Editorial analysis compiled and periodically refreshed by BAANLYY’s research team — not a live data feed.
Analysis last reviewed September 2026.
Primary and official sources are cited above. Government rules, fees and procedures in Thailand change over time and vary by office; always confirm current requirements with the relevant authority before relying on them. BAANLYY never takes paid placement in editorial content.
Narrowed it down? These go further on specific islands, budgets and the move itself.
Rent before you buy, read the deed before you sign, and know which pier and which hospital you are actually near.
General information only. Fares, schedules, capacities, fees and administrative rules in Thailand change without notice and vary by operator, office and season; every figure above is attributed to the body that published it and should be confirmed with that body before you rely on it. BAANLYY LLC is a Nevada company and a listing portal — it does not own, lease or manage any listed property, is not a party to any lease or sale, is not a law firm and does not give legal advice, and never takes paid placement in editorial content. Hero image via Pexels.