Modern representation was built by trailblazers who often faced career-ending discrimination when their identities were revealed. April Ashley

The objectification and commodification of their bodies and identities also raise concerns, as extreme ladyboy models may be subjected to exploitation and pressure to conform to certain standards. Moreover, the intersection of transphobia, racism, and sexism can create a complex web of oppression, which these models must navigate.

: While often used broadly by foreigners, ladyboy is a cultural label that many trans women in Southeast Asia have reclaimed. In modeling, these individuals often identify as women born in male bodies rather than a separate "third gender".

: While not exclusively known as a "ladyboy" but rather as a transgender woman, Andreja Pejić is a notable example of a model who has walked the runway as both a male and female model, showcasing her versatility and challenging traditional gender norms in fashion.

For instance, models like Natchapol "Natt" Boonyasak, a Thai ladyboy who has walked the runways of top designers like Jean Paul Gaultier and Vivienne Westwood, are shattering stereotypes and redefining the notion of femininity. With their bold features, striking makeup, and fearless attitude, extreme ladyboy models are challenging traditional beauty standards and offering a more nuanced understanding of femininity.

Many models adopt a style often described as "extreme" femininity, characterized by high-fashion silhouettes, dramatic makeup, and precision-engineered aesthetics.

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