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Despite the seeming openness, kathoey individuals face significant challenges. Social stigma, discrimination, and difficulties in accessing healthcare and legal documentation reflecting their gender identity are prevalent issues. Many face rejection from their families and communities, leading to a high representation of kathoey individuals among the homeless youth in Thailand.

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is often an umbrella term for trans women, effeminate men, or those with diverse gender expressions. Unlike some Western views, many Thais traditionally see this as a natural part of the cycle of rebirth rather than a choice. Buddhist Influence If you are researching this for an academic

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