: Over one-third of those reporting physical assault cited police as the perpetrators .
: Due to limited access to formal healthcare, many use excessive estrogen supplements without medical supervision or undergo invasive, unsafe procedures like subcutaneous silicone injections to achieve a more feminine appearance . Legal and Social Context ladyboy abuse
: In a study of Cambodian "ladyboys," 40% reported physical assault and 55% reported being forced to have sex against their wishes within a 12-month period . : Over one-third of those reporting physical assault
