Otoko no ko refers to people assigned male at birth but identify as female. They may undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are often connected to the Josou community and enjoyment sharing their femininity through clothing and cosmetics. Some people may identify as mtf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf have become more visible and accepted in the community, resulting in increased awareness and understanding.

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