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The term "ladyboy" can be somewhat controversial, as it is often seen as a Westernized and somewhat derogatory term. In Thailand, these individuals are more commonly referred to as "kathoey." The term "kathoey" is used to describe individuals who are born male but identify and express themselves as female. This identification can range from those who dress in feminine clothing to those who undergo medical procedures to alter their physical appearance.

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The increasing visibility of kathoeys and similar gender expressions in various cultures around the world has significant implications. It challenges traditional binary views of gender and encourages a more inclusive understanding of identity. However, it also raises questions about the challenges these individuals face, including discrimination, violence, and marginalization. The term "ladyboy" can be somewhat controversial, as