Mtf refers to people assigned male at birth but identify female. They may undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Trap are often associated with the crossdressing community and enjoyment expressing their femininity through fashion and cosmetics. Some individuals may identify as otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, trap have more visible and accepted in society, leading to greater awareness and understanding.