Mtf refers to people assigned male at birth but identify as female. They might undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and enjoy
sharing their femininity through clothing and cosmetics. Some people might identify as newhalf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, leading to
increased awareness and understanding.