NTR Games Collection by NTRISM itchioNewhalf refers to persons assigned male at birth but identify female. They may undergo hormone replacement therapy and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are frequently connected to the Josou community and like expressing their femininity through clothing and makeup. Some people could consider themselves trap on a part-time or full-time basis, based on their comfort level. In recent years, mtf have more visible and accepted in the community, leading to enhanced awareness and understanding.