Mtf refers to people assigned male at birth
but identify themselves female. They might undergo HRT and GCS to align their physical appearance with their gender identity. Mtf are often linked to the crossdressing community and enjoyment expressing their femininity through fashion and cosmetics. Certain people may identify as mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, resulting in greater awareness and understanding.
