Mtf refers to persons assigned male at birth but identify female. They could undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Newhalf are often connected to the crossdressing community and like sharing their femininity through fashion and makeup. Certain individuals could identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, mtf are becoming more visible and accepted in the community, leading to enhanced awareness and understanding.