Mtf refers to individuals assigned male at birth but identify female. They might undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are commonly linked to the Josou community and enjoyment sharing their femininity through fashion and cosmetics. Certain individuals might identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf have become more visible
and accepted in the community, leading to enhanced awareness and understanding.