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With the massive increase in SRS, there has also been an increase in prerequisites, measures that must be taken, in order to be eligible for the operation.

Patients must be at least 18 years old and permission from parents if under 20 years old.

Beginning in 1998, the pageant takes place every year in Pattaya, Thailand during May.

With over 100 applicants, all across Thailand, the pageant is considered to be one of the most popular transgender pageant in the world.

In January 1997, the Rajabhat Institutes (the governing body of the colleges) announced it would formalize the ban, which would extend to all campuses at the start of the 1997 academic year.

The ban was quietly rescinded later in the year, following the replacement of the Minister of Education., satree lek), later portrayed in two Thai movies, won the Thai national championship.

Families (and especially fathers) are typically disappointed if a child becomes a kathoey, and kathoeys often have to face the prospect of coming out.

Kathoeys are more visible and more accepted in Thai culture than transgender people are in other countries in the world.

One must provide evidence of diagnosis of gender dysphoria from a psychologist/psychiatrist.

Before going through gender reassignment surgery, one must be on hormones/antiandrogens for at least one year.

Use of the term "kathoey" suggests that the person self-identifies as a type of male, in contrast to sao praphet song (which, like "trans woman", suggests a "female" (sao) gender identity), and in contrast to phet thi sam (which means "third gender").

The term phu ying praphet song, which can be translated as "second-type female", is also used to refer to kathoey.

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