Otoko no ko refers to individuals assigned male at birth but identify as female. They might undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Newhalf are frequently linked to the Josou community and enjoyment expressing their femininity through attire and makeup. Some individuals could consider themselves newhalf on a part-time or full-time basis, based on their comfort level. In recent years, mtf have become more visible and accepted in the community, leading to greater awareness and understanding.