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Thailand is often viewed as the most tolerant country for transgender individuals in Asia. However, this is often "begrudging acceptance" rather than full equality. In rural areas, they may be tolerated but still face social stigma from families.

Many are concentrated in the "kathoey career" path—entertainment (cabarets), beauty, and fashion. Discrimination in corporate and professional sectors remains high, often pushing individuals toward informal sectors or sex work for survival. asain ladyboys

The local term is kathoey (or katoey ). It traditionally referred to intersex individuals but now encompasses a broad spectrum, including trans women and effeminate men. Many Thai trans women prefer the terms phuying ("woman") or sao praphet song ("second-type woman"). Thailand is often viewed as the most tolerant