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Some Buddhist beliefs suggest that being born as a kathoey is a result of transgressions in a previous life, leading to a mix of societal tolerance and underlying stigma.

Economic necessity is a primary driver. For some, sex work offers significantly higher earnings than traditional professions; for example, one individual reported earning in two days what they previously earned in a month as a teacher. lady boys escorts

This is the local Thai term for people assigned male at birth who present as female or effeminate. Some Buddhist beliefs suggest that being born as