Otoko no ko refers to individuals assigned male at birth but identify themselves female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Trap are often associated with the Josou community and enjoyment sharing
their femininity through clothing and cosmetics. Some individuals could identify as trap on a part-time or full-time basis, depending on their comfort level. In recent years, mtf are becoming more visible and accepted in the community, resulting in greater awareness and understanding.