NTR Games Collection by NTRISM itchioTrap refers to persons assigned male at birth but identify female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Otoko no ko are commonly linked to the crossdressing community and enjoy sharing their femininity through clothing and cosmetics.
Certain individuals might consider themselves otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have more visible and accepted in society, resulting in greater awareness and understanding.