Otoko no ko refers to individuals assigned male at birth but identify female. They might undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Trap are often associated with the Josou community and enjoy expressing their femininity through fashion and makeup. Some people could identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, trap have more visible and accepted in society, leading to increased awareness and understanding.