Mtf refers to individuals assigned male at birth but identify as female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Trap are often associated with the Josou community and enjoyment sharing their femininity through attire and cosmetics. Certain people may consider themselves 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 enhanced awareness and understanding.