: In Thai society, kathoey are often viewed as a " third gender ". This concept is deeply integrated into daily life, with historical roots dating back to the 14th century.
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: Many kathoey identify as women and undergo "feminizing" medical procedures, such as hormone therapy, breast implants, and facial feminization [2, 25]. Some pursue full gender reassignment surgery, while others are comfortable without it [7, 26]. Presence in Society : In Thai society, kathoey are often viewed
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