Otokonoko is the Japanese word for 'boy' explainedMtf refers to persons assigned male at birth but identify female. They may undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and like expressing their femininity through fashion and makeup. Certain individuals may identify as newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in the community, leading to enhanced awareness and understanding.