Newhalf refers to persons assigned male at birth but identify themselves female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are commonly associated with the crossdressing community and like sharing their femininity through clothing and cosmetics. Certain individuals might identify as otoko no ko 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 increased awareness and understanding.
