: Many Thais perceive kathoeys as a distinct third gender . This concept has existed in Thai history for centuries.

: Unlike in many other countries, kathoeys are a highly visible and integrated part of Thai society. They work across many sectors, including healthcare, education, retail, and beauty.

: Over 90% of Thais practice Theravāda Buddhism , which emphasizes compassion and karma. Some Buddhist interpretations view being born as a kathoey as a karmic result of actions in a past life, which often leads to social tolerance or pity rather than moral condemnation.