Mtf refers to individuals assigned male at birth but identify female. They might undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Mtf are often associated with the Josou community and enjoy expressing their femininity through clothing and makeup. Certain individuals might consider themselves trap 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 the community, leading to greater awareness and understanding.