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It is crucial to approach the topic of ladyboys or kathoey with respect and understanding. This involves recognizing the humanity and individuality of these persons, understanding the challenges they face, and appreciating their contributions to society. It also means being mindful of the language used, opting for terms that are preferred by the community itself, such as "kathoey," and avoiding stereotypes and objectification. Kathoey have a visible presence in many sectors

Despite the glamour and excitement associated with this lifestyle, Extreme Som Ladyboys often face significant challenges, including social stigma, discrimination, and marginalization. Many individuals within this community struggle to find acceptance and understanding from their families, friends, and society at large.

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