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Otoko no ko refers to individuals assigned male at birth but identify themselves female. They may undergo HRT and GCS to align their physical appearance with their gender identity. Otoko no ko are often associated with the Josou community and like expressing their femininity through fashion and makeup. Some individuals may identify as trap 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 the community, resulting in increased awareness and understanding.

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