Mtf refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are commonly associated with the Josou community and like expressing their femininity through clothing and makeup. Some people might consider themselves otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf are becoming more visible and accepted in the community, leading to greater awareness and understanding.
