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Otoko no ko refers to individuals assigned male at birth but identify as female. They may undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Mtf are often linked to the crossdressing community and like expressing their
femininity through attire and makeup. Some individuals may consider themselves newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, mtf have more visible and accepted in society, leading to enhanced awareness and understanding.