Mtf refers to individuals assigned male at birth but identify themselves female. They could undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Mtf are frequently associated with the Josou community and enjoyment sharing their femininity through fashion and makeup. Some people may consider themselves newhalf 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.