Mtf refers to persons assigned male at birth but identify female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Mtf are frequently associated with the Josou community and enjoyment expressing their femininity through clothing and makeup. Certain individuals might identify as trap on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted
in the community, resulting in enhanced awareness and understanding.
