NTR Games Collection by NTRISM itchioOtoko no ko refers to individuals assigned male at birth but identify female. They may
undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and like expressing their femininity through attire and cosmetics. Some individuals may consider themselves mtf 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 enhanced awareness and understanding.