Mtf refers to people assigned male at birth but identify themselves female. They may 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 fashion and makeup. Some people could consider themselves mtf on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf have become more visible and accepted in society, leading to greater awareness and understanding.