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Otoko no ko refers to individuals assigned male at birth but identify as female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Mtf are commonly connected to the crossdressing community and like expressing their femininity through attire and cosmetics. Certain individuals may identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, mtf are becoming more visible and accepted in the community, resulting in greater awareness and understanding.

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