: In performance and cabaret contexts, descriptors like "extra quality" or "top quality" are sometimes used by fans or in promotional material to emphasize a performer's natural feminine grace, high confidence, and successful physical transition. Social Perceptions and Identity

While some may view extreme ladyboys as embodying "extra quality," there are also challenges and controversies surrounding this topic:

Every individual's experience with their gender identity and expression is unique. What might seem "extreme" to one person could simply be another person's way of authentically expressing themselves.