Otoko no ko refers to individuals assigned male at birth but identify themselves female. They may undergo HRT and GCS to align physical appearance with their gender identity. Otoko no ko are often linked to the crossdressing community and like sharing their femininity through attire and makeup. Some individuals could identify as mtf on a part-time or full-time basis, based on their comfort level. In recent years, mtf have more visible and accepted in the community, leading to increased awareness and understanding.