: In Thai society, they are generally accepted as a "third sex" and are ubiquitous in daily life, appearing as sidekicks in soap operas or working in common service jobs.

The lifestyle of a kathoey is often characterized by a pursuit of "hyper-femininity," where physical appearance is a central pillar of identity and social acceptance.

: Many individuals use female hormones, such as estrogen, from a young age to maintain a "petite and soft" frame, often combined with surgeries like breast augmentation.

fates, families, surgeries and work of transgender people in Thailand.