Zozibini Tunzi, of South Africa, is crowned Miss Universe by her predecessor, Catriona Gray of the Philippines, at the 2019 Miss Universe pageant at Tyler Perry Studios in Atlanta, Georgia, U.S. December 8, 2019. (Photo by Elijah Nouvelage/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)
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)
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)