Mtf refers to people assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Newhalf are frequently linked to the Josou community and enjoy expressing their femininity
through clothing and makeup. Some people may consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in the community, resulting in enhanced awareness and understanding.