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Otoko no ko refers to individuals assigned male at birth but identify female. They might undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are frequently connected to the crossdressing community and like sharing their femininity through fashion and cosmetics. 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 more visible and accepted in the community, leading to enhanced awareness and understanding.