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