Otoko no ko refers to persons assigned male at birth but identify as female. They may undergo HRT and GCS to align their physical appearance with their gender identity. Mtf are often connected to the Josou community and enjoy expressing their femininity through clothing and makeup. Some 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 increased awareness and understanding.