Newhalf refers to individuals assigned male at birth but identify themselves female. They could undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Newhalf are frequently associated with the Josou community and enjoyment expressing their femininity through clothing and makeup. Some individuals might consider themselves otoko no ko 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 enhanced awareness and understanding.