Njengasesimweni "sokuthanda ukuya ocansini," umqondo wokuthi "transgender" uqobo unenkinga, ngoba awunasisekelo sesayensi noma ukuvumelana phakathi kwezishoshovu ze-LGBT. Kodwa-ke, akunakungatshazwa ukuthi emiphakathini yaseNtshonalanga izinga lezinto ezenzeka nge-transgender eziphika amaqiniso emvelo akhuphuke kakhulu eminyakeni yamuva. Uma ngonyaka we-2009 ku Umtholampilo waseTavistock Intsha ye-97 ibhekise ku-dysphoria wobulili, bese kuthi ngonyaka odlule inani labo lifinyelela ngaphezu kwezinkulungwane ezimbili.