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It most often rendered as "ladyboy" in English conversation with Thais, an expression that has become popular across Southeast Asia.

Although kathoey is often translated as 'transgender woman' in English, this term is not correct in Thailand.

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

The glamour of Hollywood and the glitz of Las Vegas meet the beloved traditions of classic British music hall in a mesmerizing spectacle, fulfilling for everyone.Families (and especially fathers) are typically disappointed if a child becomes a kathoey, and kathoeys often have to face the prospect of disclosing their sexuality.However, kathoey generally have greater acceptance in Thailand than most other East Asian countries.One must provide evidence of diagnosis of gender dysphoria from a psychologist or psychiatrist.Before going through gender reassignment surgery, one must be on hormones/antiandrogens for at least one year.

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