Joey Joleen Mataele is one of many in Tonga's island chain who identifies as a 'fakaleiti' or simply 'leiti', which translates roughly from Tongan as "like a lady".
"The role of leitis in our society is more of a housewives role, a domestic worker, we're known in the public eye in our churches and for helping the youth programs, but when it comes to our personal choices, that's when the barriers start," she told the ABC's Pacific Beat program.
Leitis often identify as women or men who dress and behave in a feminine way, but mainly don't identify as either men or women.