Otoko no ko refers to individuals assigned male at birth but identify female. They may undergo HRT and GCS to align their physical appearance with their gender identity. Newhalf are commonly linked to the crossdressing community and enjoyment expressing their femininity through clothing and makeup. Some individuals may 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 the community, leading to greater awareness and understanding.