Otoko no ko refers to individuals assigned male at birth but identify female. They may undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are commonly associated with the Josou community and enjoy sharing their femininity through attire and cosmetics. Certain individuals might identify as 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, leading to increased awareness and understanding.