Beyond structured performances, many work in the tourism-driven "nightlife" sector, including bars and clubs, which can offer significant, though sometimes volatile, income. This aspect of the entertainment lifestyle is frequently highlighted in travel media, often emphasizing the beauty, charisma, and social skills of those involved.

The lifestyle often involves navigating a complex landscape of societal acceptance and discrimination. While Thailand is often seen as progressive, ladyboys face challenges, particularly in legal and official settings, such as using male identification for administrative purposes. The community has developed strong social networks, often finding support within their own groups, especially among those working in similar industries.

Ladyboys are renowned in the entertainment industry, particularly in cabaret shows, which are high-energy performances featuring singing, dancing, and elaborate costumes. These cabaret shows, notably in places like Pattaya and Bangkok, are major tourist attractions, showcasing talent and charm.

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Historically, kathoey have been part of traditional Thai and Khmer culture for centuries, sometimes linked to spiritual and artistic roles. In contemporary Thailand, many ladyboys are visible members of society, working in varied fields such as education, healthcare, and retail. However, significant numbers are also prominent in the tourism and nightlife entertainment sectors.