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Surgical operations that are much more common are breast and hip implants.
These are operations that are universally desirable to all ladyboys and almost all of them in places like Bangkok and Pattaya will have had these operations.
In simple terms, a ladyboy is a person who is born with a male anatomy but with a female persona.
You can decide for yourself whether that makes them male or female, but in Thailand they are simply regarded as belonging to a third sex.
The money that a rich westerner might bring is an added incentive of course.
You need to way things up fairly against the possibility that a ladyboy you are dating might purely be interested in you for money alone.
As a note of caution, for those men for whom ladyboys do not appeal, please be sure to treat them with respect. There is one unique factor to consider, regarding ladyboys, that makes Westerners particularly attractive to them; it relates to a problem that is a serious concern for any Thai man who is dating a ladyboy i.e. Even if his parents are accepting of his preferences they will probably still pile on the pressure for him to eventually marry a woman in order that grandchildren can result.You should probably not use the term ‘shemale’ as it has got some association with adult movies and it might cause offense.‘Transsexual’, which again means the same thing except that it could also refer to people born female but identifying themselves as being male (commonly referred to in Thailand as tom-boys), is not a term that is used much.The inability to have children makes it rare for Thai men to stay with a ladyboy on a permanent basis, and the lack of a permanent man in their lives means no long-term support from a husband.Whilst in many Western countries adoption might be a possible solution to the problem of starting a family, it is very uncommon in Thailand to adopt.
Aside from surgery, virtually all ladyboys will be taking hormone replacement therapy and they will, in many cases, have been doing so from an early age.