Otoko no ko refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Mtf are frequently connected to the crossdressing community and like sharing their femininity through fashion and makeup. Some people may identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have more visible and accepted in society, resulting in enhanced awareness and understanding.