In Thailand, kathoey individuals are often viewed as an integral part of the country's diverse cultural landscape. Many Thai people see kathoey individuals as a natural phenomenon, and some even consider them to be a symbol of good luck and prosperity. In some regions of Thailand, kathoey individuals are revered for their perceived spiritual powers and are believed to possess a deep understanding of traditional medicine and rituals.

The word "kathoey" is derived from the Thai language, with "ka" meaning "to come out" or "to emerge," and "thoey" meaning "egg." In some interpretations, the term refers to a third gender that emerges from the combination of male and female. Historically, kathoey individuals were considered to be a natural part of Thai society, with some even holding high-ranking positions in royal courts and temples.

Despite their cultural significance, the kathoey community in Thailand faces numerous challenges. Discrimination and social stigma are prevalent, with many kathoey individuals experiencing marginalization and exclusion from mainstream society. Access to education, employment, and healthcare can be limited, and violence against kathoey individuals is not uncommon.