Mtf refers to people assigned male at birth but identify female. They may undergo hormone replacement therapy and GCS to align their physical appearance with their gender identity. Newhalf are often associated with the crossdressing community and enjoy sharing their femininity through clothing and makeup. Certain people may consider themselves otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf are becoming more visible and accepted in the community, resulting in greater awareness and understanding.