Otoko no ko refers to individuals assigned male at birth but identify female. They might undergo HRT and gender confirmation surgery to align physical
appearance with their gender identity. Mtf are commonly associated with the crossdressing community and enjoyment expressing their femininity through clothing and makeup. Certain individuals could identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have more visible and accepted in society, resulting in greater awareness and understanding.