Mtf refers to individuals assigned male at birth but identify female. They may undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Newhalf are often linked to the Josou community and like sharing their femininity through clothing and makeup. Certain people might identify as newhalf 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 enhanced awareness and understanding.