Rio Takahashi of Japan gets ready for the final show of the Miss International Queen 2020 transgender beauty pageant in Pattaya, Thailand on March 7, 2020. (Photo by Soe Zeya Tun/Reuters)

Miss Fantasy performs on the stage of The Nest club during the Vogue Nights Jozi Ball, an event dedicated to the gender-fluid culture in Marshalltown, Johannesburg on September 24, 2022. (Photo by Luca Sola/AFP Photo)

The first four finalists are selected during the 66th Miss Universe pageant at Planet Hollywood hotel-casino in Las Vegas, Nevada on November 26, 2017. (Photo by Steve Marcus/Reuters)

Italian Prime Minister Silvio Berlusconi and Miss Italia 2008 Miriam Leone appear on “Porta a Porta” in Rome, Italy on September 15, 2008. (Photo by WENN)

Rikkie Valerie Kolle, a transgender woman who was crowned Miss Netherlands, puts on her makeup in Voorthuizen, Netherlands on July 12, 2023. (Photo by Piroschka van de Wouw/Reuters)

Contestant Nathalie De Oliveira of Brazil prepares backstage before the final show of the Miss International Queen 2016 transgender/transsexual beauty pageant in Pattaya, Thailand, March 10, 2017. Thai contestant Jiratchaya Sirimongkolnawin was crowned Miss International Queen 2016. The 2016 show was postponed from November last year due to Thailand's mourning period of its late King Bhumibol Adulyadej who died at age 88 on October 13, 2016. (Photo by Athit Perawongmetha/Reuters)