Otoko no ko refers to persons assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Newhalf are frequently connected to the Josou community and enjoy sharing their femininity through attire and makeup. Some individuals 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 enhanced awareness and understanding.