Newhalf refers to people assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Mtf are often connected to the crossdressing community and enjoyment expressing their femininity through fashion and makeup. Some people could identify as otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in society, leading to increased awareness and understanding.