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With the massive increase in GASs, there has also been an increase in prerequisites, measures that must be taken in order to be eligible for the operation.

Patients must be at least 18 years old with permission from parents if under 20 years old.

Through beauty pageants, Thailand has been able to promote the country's cosmetic surgery industry, which has had a massive increase in medical tourism for sex reassignment surgery.

Kathoeys are more visible and more accepted in Thai culture than transsexuals are in other countries in the world. To comply with Wikipedia's lead section guidelines, please consider modifying the lead to provide an accessible overview of the article's key points in such a way that it can stand on its own as a concise version of the article. In particular: Information on legal status of third-sex people in Thailand is woefully out of date, does not mention 2015 changes which recognized third sex under the law, or its consequences..Transgender women in Thailand mostly use terms other than kathoey when referring to themselves, such as phuying (Thai 'woman').Legal recognition of kathoeys and transsexuals is nonexistent in Thailand: even if transsexuals have had genital reassignment surgery, they are not allowed to change their legal sex. Problems can also arise in regards to access to amenities and gender allocation; for example, a kathoey and a person who has undergone sexual reassignment surgery would still have to stay in an all-male prison.Kathoeys began to gain prominence in the cinema of Thailand during the late-1980s.

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