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In many Southeast Asian cultures, especially Thailand, beauty is a form of social capital.

Long-term use of unregulated hormones or multiple surgeries can lead to health complications. extreme ladyboys simple

High-profile contests like Miss Tiffany’s Universe celebrate "extreme" femininity. Participants often spend years perfecting their look to meet elite beauty standards. In many Southeast Asian cultures

Achieving this look is expensive. This can lead to a wealth gap within the community, where only those with high incomes can achieve the "ideal" look. extreme ladyboys simple

Until recently, many countries did not allow for legal gender changes on identity documents, regardless of how "extreme" the physical transition was.