Mtf refers to people assigned male at birth but identify themselves female. They may undergo HRT and GCS to align physical appearance with their gender identity. Trap are often associated with the crossdressing community and enjoy sharing their femininity through clothing and makeup. Certain individuals could consider themselves otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, leading to greater awareness and understanding.