Otoko no ko refers to individuals assigned male at birth but identify as female. They might undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and like expressing their femininity through attire and cosmetics. Certain individuals could consider themselves trap on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have more visible and accepted in the community, resulting in increased awareness and understanding.