Otoko no ko refers to people assigned male at birth but identify as female. They may undergo HRT and GCS to align physical appearance with their gender identity. Otoko no ko are frequently associated with the crossdressing community and enjoy expressing their femininity through fashion and cosmetics. Certain people may consider themselves otoko no ko 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 society, resulting in enhanced awareness and understanding.