Newhalf refers to individuals assigned male at birth but identify female. They may undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Newhalf are frequently connected to the crossdressing community and enjoy expressing their femininity through clothing and makeup. Certain people might identify as trap on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have more visible and accepted in society, leading to greater awareness and understanding.