Otoko no ko refers to people assigned male at birth but identify themselves female. They might undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are commonly connected to the crossdressing community and enjoy sharing their femininity through clothing and cosmetics. Some individuals might 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 enhanced awareness and understanding.