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: Many perceive kathoeys as a "third gender". Some Buddhist beliefs suggest their identity is a result of karma from past lives, which, while sometimes framing them as "cursed," also fosters a sense of tolerance and non-judgmental acceptance.

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In Thai society, ladyboys are far more than just entertainers; they are part of the mainstream workforce, found in banks, stores, and neighborhood restaurants. : Many perceive kathoeys as a "third gender"