Otoko no ko refers to persons assigned male at birth but identify as female. They may undergo HRT and GCS to align physical appearance with their gender identity. Otoko no ko are frequently associated with the Josou community and like expressing their femininity through attire and makeup. Certain people could consider themselves newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf have become more visible and accepted in society, resulting
in enhanced awareness and understanding.