Mtf refers to individuals assigned male at birth but identify themselves female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Otoko no ko are frequently connected to the crossdressing community and like sharing their femininity through attire and makeup. Some people may consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf have become more visible and accepted in the community, resulting in increased awareness and understanding.