The term kathoey or katoey (, IPA:*) generally refers to a male-to-female transgender person or an effeminate gay male in Thailand. They are sometimes referred to as ladyboys, or as sao (or phuying) praphet song ("a second kind of woman"), or phet thee sam (third sex). The word kathoey is thought to be of Khmer origin.
Typically, however, kathoeys dress as women and undergo hormone replacement therapy; most have breast implants; some also undergo genital reassignment surgery to transform their genitals, surgery to reduce the size of the Adam's apple, and other medical procedures. They are often identified as kathoey at a very young age, and may have access to hormones (available without prescription) and medical procedures during their teenage years. Their makeup, dress and figure is usually very feminine.
Compared to Western countries, where transgender and transsexuals are just beginning to become visible (and demand their rights), kathoey are much more visible and more widely accepted in Thai culture: several popular Thai models, singers and movie stars are kathoey, and Thai newspapers often print photos of the winners of female and kathoey beauty contests side by side. The phenomenon is not restricted to urban areas; there are kathoey in most villages, and kathoey beauty contests are commonly held as part of local fairs.
Some believe that this higher acceptance is due to the nature of the surrounding Buddhist culture, which places a high value on tolerance. Using the notion of Karma, some Thai believe that being a kathoey is the result of transgressions in past lives, concluding that kathoey deserve pity rather than blame. A possible explanation for the high number of kathoey is the fact that open male homosexuality is a much more recent and less visible phenomenon in Thailand; becoming a kathoey might thus be a solution for a number of male homosexuals. However, kathoey generally seek male sexual partners who identify themselves as heterosexual and not as gay.
The lives of kathoey are not as easy as many Westerners might believe. Families (and especially fathers) are typically disappointed if a son becomes a kathoey. Legal recognition of kathoey is non-existent in Thailand: even after genital reassignment surgery, they are not allowed to change their legal sex. (Compare Legal aspects of transsexualism). Kathoeys are also estimated to have been one of the groups that suffered most from the Indian Ocean earthquake, having far less familial support and recourse to government help than most other groups in society . Further, kathoey often belong to lower social classes, and their suicide rate is significantly higher than that of the general population.
A technology school now has a special restroom for kathoeys.
In 1996, a volleyball team composed mostly of gays and kathoey, known as the "Iron Ladies", won the Thai national championship. The Thai government, concerned with the country's image, then barred two of the kathoey from joining the national team and competing internationally.
Among the most famous kathoey in Thailand is Nong Tum, a former champion thai boxer. She was already cross-dressing and taking hormones while still a popular boxer; she would enter the ring with long hair and makeup, occasionally kissing a defeated opponent. Her career ended in 1999 when she had genital reassignment surgery.
The story of the 1996 Iron Ladies volleyball team underlies the humorous and successful 2000 movie The Iron Ladies and the 2003 sequel The Iron Ladies 2. The 1996 team and the movie inspired other kathoey in the nation to step up for themselves.
The 2002 Thai film Saving Private Tootsie tells the story of a group of gays and kathoey who need to be rescued after a plane crash in rebel-held jungle territory. The film explores anti-gay attitudes in various ways. It is loosely based on an incident in December 1998 when a group including a popular singer and his kathoey makeup artist survived a plane crash.
The life of the kathoey kick boxer Nong Tum is related in the 2003 movie Beautiful Boxer. Unlike "The Iron Ladies 1 & 2", "Beautiful Boxer" used a serious tone.