Newhalf refers to individuals assigned male at birth but identify female. They could undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are commonly linked to the crossdressing community and like expressing their femininity through fashion and cosmetics. Some people could consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf are becoming more visible and accepted in the community, resulting in increased awareness and understanding.