Newhalf refers to people assigned male at birth but identify as female. They may undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are frequently linked to the crossdressing community and like expressing their femininity through attire and cosmetics. Some people could consider themselves otoko no ko 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 the community, leading to greater awareness and understanding.