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Newhalf refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Mtf are often connected to the Josou community and enjoy sharing their femininity through clothing and cosmetics. Certain people may identify as 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, resulting in enhanced awareness and understanding.