While the term "ladyboy" is common in tourism, the broader Thai term often used is gatey or catey , which can refer to a spectrum of feminine gender expression, including transgender women.
While some may choose medical procedures to affirm their gender, others may not.
Many identify specifically as transgender women, rather than men.
Ladyboys are generally considered a natural, integrated part of society in Thailand, a perception deeply rooted in Buddhist teachings of kindness and karma.
