: As with any sexual interaction, clear communication and consent are vital to ensuring both partners’ needs and boundaries are respected. Social and Legal Landscape

: Outside of specific cultural contexts, many individuals prefer terms like "trans woman" or "non-binary". The term "ladyboy" can be seen as derogatory or fetishistic depending on the region and the individual's preference. Sexual Roles and Dynamics

: Contrary to common stereotypes that assume transfeminine individuals always take a passive role, many choose to be "tops". This involves being the active partner during sexual encounters.

: In Southeast Asia, particularly Thailand, kathoey is an umbrella term for a diverse spectrum of gender expression. While some identify strictly as trans women, others view themselves as a "third gender".

: Sexual roles (top, bottom, or versatile) are independent of gender identity. A person's preference for a specific role is a matter of personal comfort and attraction.