Otoko no ko refers to individuals assigned male at birth but identify as female. They may undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are often linked to the crossdressing community and enjoy expressing their femininity through fashion and makeup. Certain individuals may consider themselves trap on a part-time or full-time basis, based on their comfort level. In recent years, mtf have become more visible and accepted in society, leading to enhanced awareness and understanding.