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: The process of aligning one's life with their gender identity. This can be: Social : Changing names, pronouns, or dress.

Originating in Southeast Asia, particularly Thailand, this term describes individuals assigned male at birth who adopt a feminine gender identity or expression [13, 17]. While sometimes translated as "ladyboy" for Western audiences, the local term is kathoey and covers a wide spectrum of femininity [9, 13]. shemale nylon ladyboy