Otoko no ko refers to individuals assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often connected to the Josou community and enjoy expressing their femininity through clothing and makeup. Certain people might consider themselves newhalf 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 increased awareness and understanding.
