Newhalf refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Otoko no ko are often linked to the crossdressing community and like expressing their femininity through fashion and cosmetics. Certain individuals might consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in the community, resulting in increased awareness and understanding.