Otoko no ko refers to individuals assigned male at birth but identify as female. They may undergo HRT and GCS to align physical appearance with their gender identity. Otoko no ko are frequently associated with the crossdressing community and like sharing their femininity through attire and makeup. Some individuals may identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, resulting in enhanced awareness and understanding.