Newhalf refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Mtf are often linked to the Josou community and enjoy expressing their femininity through fashion and cosmetics. Some people could consider themselves otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, mtf have become more visible and accepted in society, leading to increased awareness and understanding.