Otokonoko Heaven Manga Magazine MyAnimeListnetNewhalf refers to people assigned male at birth but identify as female. They may undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Mtf are often connected to the crossdressing community and like expressing their femininity through clothing and makeup. Some people could identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, newhalf have more visible and accepted in society, resulting in enhanced awareness and understanding.