Newhalf refers to people assigned male at birth but identify themselves female. They may undergo HRT and GCS to align physical appearance with their gender identity. Newhalf are frequently connected to the Josou community and enjoyment expressing their femininity through clothing and cosmetics. Certain individuals might consider themselves newhalf on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko have become more visible and accepted in the community, resulting in enhanced awareness and understanding.