Newhalf refers to persons assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Otoko no ko are often connected to the crossdressing community and enjoy expressing their femininity through clothing and cosmetics. Certain people could identify as newhalf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf have become more visible and accepted in society, resulting in increased awareness and understanding.