: Despite high visibility in the entertainment and beauty industries, many face severe discrimination in formal employment. Research indicates that approximately 38% of respondents in some studies reported being fired or refused jobs due to their gender identity.
: Perspectives on identity vary; some individuals who undergo full gender reassignment surgery view themselves as real women , while others maintain a distinct kathoey or "third gender" identity.
: Frequent and sometimes excessive use of estrogen supplements without professional medical supervision is common, which can lead to significant long-term health risks. Modern Industry and Identity