Otoko no ko refers to people assigned male at birth but identify as female. They may undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are commonly connected to the Josou community and enjoy sharing their femininity through clothing and cosmetics. Certain individuals might consider themselves trap on a part-time or full-time basis, depending on their comfort level. In recent years, trap have more visible and accepted in society, leading to enhanced awareness and understanding.