Otokonoko Heaven Manga Magazine MyAnimeListnetMtf refers to individuals assigned male at birth but identify themselves female. They might undergo hormone replacement therapy 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 fashion and makeup. Some people may consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf are becoming more visible and accepted in the community, leading to increased awareness and understanding.