: 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 commonly suggested "rule of thumb" claims that when a woman extends her arm fully with the wrist up, her elbow may flex slightly backwards (roughly 195°), whereas a man's arm typically remains straight (180°). thumbs body ladyboys
: 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". : Hand and foot size is often cited