Otoko no ko refers to people assigned male at birth but identify female. They might undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Mtf are often linked to the Josou community and enjoyment sharing their femininity through fashion and makeup. Some individuals may consider themselves otoko no ko 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, resulting in increased awareness and understanding.