Otoko no ko refers to people assigned male at birth but identify themselves female. They may undergo HRT and GCS to align their physical appearance with their gender identity. Mtf are commonly linked to the Josou community and like expressing their femininity through attire and makeup. Certain individuals could identify as newhalf 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, resulting in enhanced awareness and understanding.