Contestant Piyada Inthavong of Laos prepares backstage before the final show of the Miss International Queen 2014 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)

Contestants prepare backstage during the final show of the Miss International Queen 2014 transgender beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestant Cristini Couto of Spain practises backstage before the final show of the Miss International Queen 2014 transgender/transsexual beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestant Piyada Inthavong of Laos prepares backstage before the final show of the Miss International Queen 2014 transgender/transsexual beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestants prepare backstage during the final show of the Miss International Queen 2014 transgender beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestants prepare backstage before the final show of the Miss International Queen 2014 transgender/transsexual beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestant Cristini Couto of Spain prepares backstage during the final show of the Miss International Queen 2014 transgender beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Contestants pose for photographs backstage before the final show of the Miss International Queen 2014 transgender/transsexual beauty pageant in Pattaya November 7, 2014. (Photo by Athit Perawongmetha/Reuters)

Isabella Santiago of Venezuela waves after she was crowned Miss International Queen 2014 at the transgender beauty pageant in Pattaya November 7, 2014. (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. (Photo by Athit Perawongmetha/Reuters)