Newhalf refers to people assigned male at birth but identify themselves female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often linked to the Josou community and enjoy sharing their femininity through clothing and makeup. Certain people might identify as otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, mtf have become more visible and accepted in society, leading to enhanced awareness and understanding.
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