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Mtf refers to individuals assigned male at birth but identify as female. They might undergo HRT and GCS to align their physical appearance with their gender identity. Trap are often connected to the crossdressing community and like expressing their femininity through fashion and makeup. Some individuals might identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in society, leading to increased awareness and understanding.