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Otoko no ko refers to people assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and like sharing their femininity through attire and makeup. Certain people may consider themselves newhalf on a part-time or full-time basis, based on their comfort level. In recent years, newhalf are becoming more visible and accepted in society, leading to greater awareness and understanding.

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