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Some identify as transgender women, while others prefer the traditional kathoey identity, which may not always include gender affirmation surgery.

Some Thai residents emphasize that kathoey are distinct from transgender women in the strict Western binary sense, though many kathoey also identify as trans. Ladyboys in Tourism and Media lady boys asian

They are widely visible in Thai society, working in varied fields such as hospitality, entertainment, retail, and education, rather than just nightlife. Identity and Terminology Some identify as transgender women, while others prefer

In Thai culture, kathoey is a recognized, traditional gender identity that has existed for centuries. Some identify as transgender women

While "ladyboy" can be seen as offensive or fetishizing by foreigners, the term has been largely reclaimed and used by many kathoey within Southeast Asia.