Short answer
A best man is traditionally the groom's chief attendant and is usually male. A man of honor is a female-led role, where a woman takes on the duties of a best man for the bride. The duties are the same; the title just reflects the gender of the person holding it.
The difference is mostly about title and tradition, not the job itself. A best man is the groom's main supporter, often a brother, friend or relative. A man of honor is the same role but held by a woman, usually for a bride who wants a female friend or sister as her chief attendant instead of a maid or matron of honor.
In practice, a man of honor does everything a best man would do: organises the stag or hen do, helps with planning, gives a speech, holds the rings if asked, and supports the couple on the day. The title is simply a way to honour the person's gender while keeping the role clear.
Some couples use the term 'best woman' for a female best man, or 'honor attendant' for a gender-neutral option. There are no legal rules about these roles. You can choose any title that feels right for your wedding. The important thing is that the person understands their duties and feels comfortable with the name you use.
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