Otoko no ko refers to individuals assigned male at birth but identify as female. They may undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Mtf are frequently linked to the crossdressing community and enjoy expressing their femininity through clothing
and cosmetics. Some people may identify as trap on a part-time or full-time basis, based on their comfort level. In recent years, newhalf have more visible and accepted in society, resulting in increased awareness and understanding.