Otoko no ko refers to individuals assigned male at birth but identify themselves female. They may undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their
gender identity. Otoko no ko are frequently associated with the Josou community and like sharing their femininity through attire and makeup. Certain 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 increased awareness and understanding.
