Devotees of the Chinese Jui Tui shrine are seen with spikes piercing their cheeks during a procession celebrating the annual vegetarian festival in Phuket, Thailand in this October 19, 2015 combination photo. The festival, featuring face-piercing, sacrifice, spirit mediums and strict vegetarianism celebrates the local Chinese community's belief that abstinence from meat and various stimulants during the ninth lunar month of the Chinese calendar will help them obtain good health and peace of mind. (Photo by Jorge Silva/Reuters)

A Thai traffic security guard wears a Santa Claus costume as he directs the traffic on a street during Christmas celebrations outside a shopping mall in Bangkok, Thailand, 22 December 2015. The campaign of a shopping mall is held to celebrate the upcoming Christmas season and to attract shoppers. (Photo by Narong Sangnak/EPA)

Bride Duangreuthai Amnuayweroj and groom Kasemsak Jiranantiporn fly while attached to cables during a wedding ceremony ahead of Valentine's Day at a resort in Ratchaburi province, Thailand, February 13, 2016. Four Thai couples took part in the wedding ceremony arranged by the resort. (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)

A female hippopotamus named “Mali”, which means Jasmine, eats fruits arranged to look like a cake during her 50th birthday celebration at Dusit Zoo in Bangkok, Thailand September 23, 2016. (Photo by Chaiwat Subprasom/Reuters)

Kritchaya “Lolita” Boonhor (R) curls her eyelashes in ladyboy Candy's (L) room while she chats her about her boyfriend, in Bangkok, Thailand, 27 November 2017. Most things in life are a question of negotiation. Lolita is a woman, that was not to be negotiated. What needed to be negotiated was how she was perceived by those around her. And that negotiation was one that took time and effort. (Photo by Lola Levan/EPA/EFE)

Employee Jenny Forgie works on an orchid display at Kew Gardens in London, Thursday, February 8, 2018. The 23rd annual Orchid Festival is the first one with a Thailand theme, 66 volunteers worked on the 6,950 exhibited orchids. The festival is open from Feb. 10, 2018 until March 11, 2018. (Photo by Frank Augstein/AP Photo)

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)