Mtf refers to people assigned male at birth but identify as female. They may undergo hormone replacement therapy
and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are commonly linked to the Josou community and enjoy sharing their femininity through clothing and cosmetics. Some people might identify as otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, mtf are becoming more visible and
accepted in the community, leading to greater awareness and understanding.
