Mtf refers to individuals assigned male at birth but identify female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Newhalf are frequently associated with the Josou community and like expressing their femininity through fashion and cosmetics. Certain individuals could consider themselves otoko no ko 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 society, leading to enhanced awareness and understanding.