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