Mtf refers to persons assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are commonly connected to the crossdressing community and enjoyment expressing their femininity through clothing and cosmetics. Some people 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 society, leading to enhanced awareness and understanding.