Otoko no ko refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and GCS to align their physical appearance with their gender identity. Newhalf are commonly connected to the crossdressing community and enjoy expressing their femininity through attire and makeup. Some individuals might consider themselves mtf 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.