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