All Sebenzas are left-handed and right-handed with the thumb stud on only one side.
You can find folks selling ones with the dual thumb stud "option". You can send the knife to Reeve Knives and have them retrofit it for a nominal fee. This includes the stud and they also hollow out the locking side to better accomodate access to the stud. Check out their site and look at the pricing list for the options: http://chrisreeve.com/
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