The high level of visibility and acceptance of ladyboys in Thailand is largely attributed to , the country's predominant religion.

The community is internationally famous for its spectacular cabaret performances, which are major tourist attractions in cities like Bangkok, Pattaya, and Phuket.

Unlike in many other cultures, ladyboys are not restricted to the fringes of society. They work in various professional fields, including healthcare, education, fashion, and business. Entertainment and Cabaret

Many Thais view being a kathoey as a result of karma from a past life. Rather than judgment, this often leads to a culture of compassion and non-judgment.