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