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