Prem uses female pronouns in daily life but insists gender is a performance, not a prison. “Call me ladyboy, call me trans, call me whatever helps you sleep at night. Just call me when you need a friend.”
The term and community have gained international attention through shows like HBO's The White Lotus , which explored Thai gender variance in its third season.
Prem addressed this directly in a viral Facebook post in 2024:
The hardest part of Prem’s life isn’t the work or the money or the health risks. It’s the loneliness.