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. Mtf are often associated with the crossdressing community and like expressing their femininity through attire and makeup. Certain people may identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, leading to
greater awareness and understanding.
