, a famous Muay Thai fighter who fought in the ring to pay for her gender affirmation surgery. Why it's "Extreme":

: Written, directed, and starring trans filmmaker Isabel Sandoval , this film is a deeply sensual and intense drama about an undocumented trans woman in Brooklyn.

While "ladyboy" is a common colloquial term in Thailand, the term

These films specifically center on the "ladyboy" experience in Thailand, often blending high-stakes action or sport with personal transition stories.