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Mtf refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are commonly linked to the crossdressing community and enjoy expressing their femininity through attire and cosmetics. Some people may identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have more visible and accepted in the community, resulting in enhanced awareness and understanding.
