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Otoko no ko refers to individuals assigned male at birth but identify female. They might undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are often linked to the Josou community and enjoyment sharing their femininity through fashion and makeup. Certain individuals may identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, mtf are becoming more visible and accepted in society, leading to increased awareness and understanding.

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