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Otoko no ko refers to people assigned male at birth but identify as female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often linked to the crossdressing community and enjoy expressing their femininity through attire and makeup. Some individuals may identify as mtf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, leading to greater awareness and understanding.

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