Newhalf refers to people assigned male at birth but identify themselves female. They might undergo hormone replacement therapy and gender confirmation surgery to align their physical appearance with their gender identity. Otoko no ko are frequently associated with the Josou community and enjoy expressing their femininity through fashion and
makeup. Certain individuals may consider themselves otoko no ko on a part-time or full-time basis, based on their comfort
level. In recent years, newhalf have become more visible and accepted in society, leading to increased awareness and understanding.