You going with the wifey or solo? This is important to answer your question.
I went to Koh Phangan a few years ago... worth it just for the full moon party. If you're going just to misbehave.... not fun to find a professional or weed or shrooms, didn't seek out anything more exciting but don't think it would be hard.
As much as I loved Thailand, I think it probably peaked ten years ago in the sense of no-rules-mayhem. Now there is still vice, but more because people like that, and they're good at catering to tourists. You're not going to get your hands chopped off or be imprisoned for life. I hear Laos is closer to what Thailand was in its heyday, if that's any interest to you.
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