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Otoko no ko refers to individuals 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 connected to the crossdressing community and enjoyment expressing their femininity through attire and makeup. Some individuals may consider themselves otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in society, leading to increased awareness and understanding.

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