Otoko no ko refers to people assigned male at birth but identify themselves female. They could undergo HRT and GCS to align their physical appearance with their gender identity. Mtf are often associated with the Josou community and like expressing their femininity through fashion and cosmetics. Certain people may identify as mtf 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 increased awareness and understanding.
