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Before going through gender reassignment surgery, one must be on hormones/antiandrogens for at least one year.

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Kathoeys are more visible and more accepted in Thai culture than transgender people are in other countries in the world.

Several popular Thai models, singers and movie stars are kathoeys, and Thai newspapers often print photographs of the winners of female and kathoey beauty contests side by side.

Kathoeys began to gain prominence in the cinema of Thailand during the late 1980s.

Beginning in 1998, the pageant takes place every year in Pattaya, Thailand during May.

Because of this confusion in translation, the English translation of kathoey is usually "ladyboy" (or variants of the term).

Use of the term "kathoey" suggests that the person self-identifies as a type of male, in contrast to sao praphet song (which, like "trans woman", suggests a "female" (sao) gender identity), and in contrast to phet thi sam (which means "third gender").

Please note: requests should only be made by those officially affiliated to The Lady Boys of Bangkok.

) is a transgender woman or an effeminate gay male in Thailand.

The phenomenon is not restricted to urban areas; there are kathoeys in most villages, and kathoey beauty contests are commonly held as part of local fairs.

Using the notion of karma, some Thai believe that being a kathoey is the result of transgressions in past lives, concluding that kathoey deserve pity rather than blame.

The term phu ying praphet song, which can be translated as "second-type female", is also used to refer to kathoey.

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