Otoko no ko refers to people assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often associated with the crossdressing community and enjoyment expressing their femininity through
attire and makeup. Some people may identify as newhalf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, resulting in greater awareness and understanding.