NTR Games Collection by NTRISM itchioOtoko no ko refers to individuals assigned male at birth but identify as female. They may undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are commonly connected to the crossdressing community and enjoy expressing their femininity through clothing and makeup. Certain individuals could consider themselves newhalf on a part-time or full-time basis, based on their comfort level. In recent years, mtf have become more visible and accepted in the community, leading to increased awareness and understanding.