Otoko no ko refers to persons assigned male at birth but identify female. They could undergo HRT and GCS to align their physical appearance with their gender identity. Mtf are frequently associated with the crossdressing community and enjoy sharing their femininity through clothing and cosmetics. Some people may consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, resulting in enhanced awareness and understanding.
