Otoko no ko refers to persons assigned male at birth but identify themselves female. They may undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are commonly connected to the crossdressing community and enjoyment sharing their femininity through clothing and makeup. Certain individuals could identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in society, leading to enhanced awareness and understanding.