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Mtf refers to persons assigned male at birth but identify themselves female. They may undergo HRT and GCS to align their physical appearance with their gender identity. Otoko no ko are often connected to the Josou community and enjoyment expressing their femininity through clothing and makeup. Certain people could consider themselves mtf on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf have become more visible and accepted in the community, leading to greater awareness and understanding.