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Mtf refers to individuals 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 associated with the Josou community and enjoy expressing their femininity through clothing and cosmetics. Some people might identify as mtf 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.

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