Otoko no ko refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are often associated with the Josou community and enjoy sharing their femininity through attire and makeup. Certain individuals could consider themselves newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, resulting in greater awareness and understanding.