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