Otoko no ko refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Mtf are frequently linked to the crossdressing community and enjoyment sharing their femininity through attire and cosmetics. Certain people could consider themselves trap on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in society, resulting in greater awareness and understanding.