Mtf refers to persons assigned male at birth but identify as female. They may undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are frequently linked to the Josou community and enjoyment expressing their femininity through attire and makeup. Certain individuals may consider themselves newhalf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in the community, leading to enhanced awareness and understanding.