Newhalf refers to persons assigned male at birth but identify female. They may undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are frequently linked to the Josou community and enjoy sharing their femininity through clothing and cosmetics. Some people could consider themselves otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, mtf have more visible and accepted in society, leading to greater awareness and understanding.