Newhalf refers to persons assigned male at birth but identify themselves female. They might undergo HRT and GCS to align their physical appearance with their gender identity. Otoko no ko are frequently linked to the Josou community and like sharing their femininity through clothing and cosmetics. Some people might identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have become more visible and accepted in the community, leading to enhanced awareness and understanding.