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Although kathoey is often translated as "transgender" in the English usage, this term is not used frequently in Thailand.
As well as trans individuals, the term can refer to gay men, and was originally used to refer to intersex individuals.
It has a meaning similar to the English language "fairy" or "queen".
With the massive increase in SRS, there has also been an increase in prerequisites, measures that must be taken, in order to be eligible for the operation.
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The term can refer to males who exhibit varying degrees of femininity.
Many kathoeys dress as women and undergo "feminising" medical procedures such as breast implants, hormones, silicone injections, or Adam's apple reductions.
Beginning in 1998, the pageant takes place every year in Pattaya, Thailand during May.
Others may wear makeup and use feminine pronouns, but dress as men, and are closer to the Western category of effeminate gay man than transgender.
The term "kathoey" may be considered pejorative, especially in the form "kathoey-saloey".
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