Some cultures have three defined genders: male, female, and effeminate male.
On Dec. 27, 2007, the Supreme Court of Nepal issued a decision mandating that the government scrap all laws that discriminated based on sexual orientation and/or gender identity and establish a committee to study same-sex marriage policy.
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Hindu philosophy has the concept of a third sex or third gender (tritiya-prakriti – literally, "third nature").
Nong Toom's life as a kathoey is also part of the book Ladyboys: The Secret World of Thailand's Third Gender by Maverick House Publishers.