Performance in film, such as Patrick Swayze in To Wong Foo, Thanks for Everything! Julie Newmar or John Travolta in Hairspray , has occasionally brought these identities into the limelight, leading to higher acceptance among younger generations.

In regions like Thailand, performers in the entertainment industry often engage in "techno-professionalism," using advanced cosmetic and hormonal technologies to meet specific beauty standards that drive tourism and national growth .

For many involved in this world, the "lifestyle" is often diametrically opposed to their public persona.