Mtf refers to persons 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. Newhalf are commonly linked to the crossdressing
community and like expressing their femininity through clothing and makeup. Some individuals may identify as trap on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, leading to
enhanced awareness and understanding.