Njengokuthi "ngokuthambekela kwezocansi," umqondo we-"transgender" nawo uyinkinga ngoba awunasisekelo sesayensi noma ukuvumelana phakathi kwezishoshovu ze-LGBT*. Kodwa-ke, akungabazeki ukuthi emiphakathini yaseNtshonalanga izinga le-transgender phenomena eliphika iqiniso le-biological liye landa kakhulu eminyakeni yamuva. Uma kwenzeka ngo-2009 Umtholampilo waseTavistock Intsha ye-97 ibhekise ku-dysphoria wobulili, bese kuthi ngonyaka odlule inani labo lifinyelela ngaphezu kwezinkulungwane ezimbili.