Kanwara Kaewjin of Thailand prepares backstage during the final show of the Miss International Queen 2019 transgender beauty pageant in Pattaya, Thailand on March 8, 2019. (Photo by Jorge Silva/Reuters)
Contestants prepare to go on stage during the Miss International Queen 2015 transgender/transsexual beauty pageant in Pattaya, Thailand, November 6, 2015. Some 27 contestants from 17 countries, all born male, are competing in the week-long event for the crown of Miss International Queen. (Photo by Athit Perawongmetha/Reuters)
Isabella Santiago of Venezuela (C) is kissed by runner-ups after she was crowned Miss International Queen 2014 at the transgender/transsexual beauty pageant in Pattaya November 7, 2014. Some 22 contestants from 18 countries, all born male, competed in the week-long event for the crown of Miss International Queen. (Photo by Athit Perawongmetha/Reuters)
Muay Thai boxer Nong Rose Baan Charoensuk, who is transgender, trains at a gym in Buriram province, Thailand, July 3, 2017. Born Somros Polchareon, Rose said she identified as a woman at an early age and began wearing makeup and a sports bra in the ring.(Photo by Athit Perawongmetha/Reuters)
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)
Contestants prepare backstage during the Angel of Turkey transgender/transsexual beauty pageant in Istanbul, Turkey, late May 26, 2016. (Photo by Murad Sezer/Reuters)
Transgender contestants run backstage before the final of the annual Miss Tiffany's Universe 2014 transvestite contest in the beach resort town of Pattaya, May 2, 2014. The contest aims to promote a positive image of transvestites. (Photo by Athit Perawongmetha/Reuters)
A contestant prepares backstage before the final show of the Miss International Queen 2018 transgender beauty pageant in Pattaya, Thailand March 9, 2018. Twenty-seven international contestants are participating in the annual beauty contest for transgender women which aims to promote the tourism industry in the resort city of Pattaya and create a positive image of transgender people. (Photo by Soe Zeya Tun/Reuters)