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

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