Newhalf refers to people assigned male at birth but identify female. They may undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often linked to the Josou community and enjoy expressing their femininity through fashion and makeup. Some people may consider themselves otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, newhalf have more visible and accepted in society, resulting in increased awareness and understanding.

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