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Otoko no ko refers to individuals assigned male at birth but identify as female. They might undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Newhalf are frequently associated with the Josou community and like expressing their femininity through clothing and cosmetics. Certain people might consider themselves mtf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in society, resulting in enhanced awareness and understanding.