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Mtf refers to people assigned male at birth but identify themselves female. They might undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are frequently associated with the crossdressing community
and enjoyment expressing their femininity through fashion and makeup. Some people may identify as trap 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, resulting in increased awareness and understanding.