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