Otoko no ko refers to people assigned male at birth but identify female. They may undergo HRT and GCS to align physical appearance with their gender identity. Mtf are often linked to the
Josou community and enjoy expressing their femininity through clothing and makeup. Some people might identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, resulting in increased awareness and understanding.