First, transgender people change their gender through surgical modification of their reproductive organs, regardless of gender; transsexuals generally use various means, such as dressing up, taking or injecting hormones, and even breast augmentation, etc. The trick is to make oneself look like a woman, but one does not really become a woman. Secondly, transgender people have a psychological misalignment of gender consciousness, so they change gender under a strong desire, which is a pursuit of self-realization. They do not identify with their own gender; this is not the case for transsexuals. Most of them just do it for life. As a profession, many shemales are no different from ordinary men after taking off their disguises. They get married and have children just like them. They also psychologically identify with their original gender.

Shemales (called in Thai: GRATEAI. In English: SHEMALE) mainly refer to men who specialize in performing and have developed from taking estrogen since childhood. Some of them are transgender people (external genitals have undergone surgery), but most of them are still "men", but with bulging breasts, slender waists, and complete loss of fertility (still able to have sex). Most shemales are beautiful, and their only appearance is The difference between men and women is that their hands and feet are usually larger, and they can be identified by their voices. This type of people are mostly concentrated in Thailand, and we call them "transvestites". But shemales are legally considered male. However, shemales are positioned as women in daily life in society. When a shemale goes to the public bathroom, she will choose according to her clothing that day. If she is wearing female clothing, then she will naturally go to the women's bathroom. Transgender people undergo surgery to modify their reproductive organs to change their gender, regardless of gender.