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

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