Otokonoko Heaven Manga Magazine MyAnimeListnetOtoko no ko refers to individuals assigned male at birth but identify themselves female. They may undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are frequently linked to the Josou community and like expressing their femininity through attire and cosmetics. Certain people may identify as mtf on a part-time or full-time basis, depending on their comfort level.
In recent years, newhalf have more visible and accepted in the community, leading to enhanced awareness and understanding.