Newhalf refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are often linked to the Josou community and enjoy expressing their femininity through fashion and makeup. Some people could identify as mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in society, leading to increased awareness and understanding.
