Mtf refers to persons assigned male at birth but identify as female. They might undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Mtf are often associated with the crossdressing community and like sharing their femininity through fashion and makeup. Certain individuals may identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have more visible and accepted in society, resulting in increased awareness and understanding.