Otoko no ko refers to people assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are often associated with the Josou community and enjoyment expressing their femininity through clothing and makeup. Some people could identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have become more visible and accepted in society, leading to increased awareness and understanding.
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