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Many individuals realize their identity at a young age. Some may transition through hormone therapy, often starting around age 18, and may eventually seek gender reassignment surgery.

Thailand is generally known for its high level of tolerance toward the community. Transgender individuals are visible across many sectors, including entertainment, fashion, retail, and beauty contests. ladyboyladyboy

In Thai culture, kathoey are often regarded as a "third gender". This visibility is deeply rooted in history, with some of the earliest mentions appearing in Buddhist teachings related to the cycle of rebirth. Many individuals realize their identity at a young age