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Otoko no ko refers to persons 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 linked to the crossdressing community and enjoyment expressing their femininity through fashion and makeup. Some individuals might consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, trap have more visible and accepted in the community, leading to greater awareness and understanding.