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: Hand and foot size is often cited as a permanent indicator, as bone structure cannot be surgically reduced. Many people look for larger hands or longer fingers compared to cisgender Thai women.

: A more prominent horizontal bone ridge above the eyebrows and a higher hairline are typical male skeletal features that may still be discernible. thumbs body ladyboys

: While not definitive, many kathoey are notably taller than the average Thai woman. : Hand and foot size is often cited

: Unless a person undergoes tracheal shave surgery, a prominent Adam's apple remains visible. Additionally, a deeper or masculine vocal resonance is a frequent "dead giveaway". thumbs body ladyboys

Commonly cited physical "proper features" used for identification include: