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