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Access to appropriate healthcare, including transgender-specific care like hormone therapy and surgical procedures, is a concern. The stigma can also lead to barriers in accessing general healthcare services.

On the other hand, they can also:

While socially "tolerated," Kathoey still face barriers in certain professional fields and family structures.

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: The representation of ladyboy culture in extreme videos may not always be respectful or accurate. The complexity and diversity of ladyboy experiences can be reduced to stereotypes or sensationalized for the sake of viewership.