This porn video tag refers to a specific type of adult content featuring transgender or intersex individuals who identify as women, typically with male genitalia. The term "shemale" is considered outdated by some and is often replaced by terms like "ts" (transsexual) or "tgirl" (transgender woman). In this case, the word "hookers" implies that the content features these individuals working as sex workers or engaging in activities related to their profession. This tag is for adult audiences familiar with pornography and its terminology.