Some scholars refer to Nkabinde with feminine “she/her” pronouns which is what Nkabinde used for themself in their autobiography. Others use “they/them” as gender neutral pronouns and few use “he/him” as masculine pronouns. After their mother passed away, Nkabinde was summoned to become a sangoma. Initially, they resisted until they were bombarded with voices, dreams, and other supernatural forces that urged them to give into becoming a sangoma. A woman came to them in their dream and told them to stop being stubborn because they were destined to perform this work. Eventually, they submitted and began their training. Once Nkabinde began to train as a sangoma, their trainer said that their lesbianism would be gone by the end of the process. However, after Nkabinde completed their training and became a sangoma, their attraction to women only grew stronger. Nkabinde's abilities as a sangoma include connecting with and controlling their ancestors to manipulate herbs and cure illnesses. Nkabinde has produced a variety of work and has conducted research surrounding LGBT identity as a sangoma in South Africa. This work encompasses journal articles, a documentary, and an autobiography. Nkabinde's work has been perceived as activism because its existence and publication challenges Zulu tradition and the concept that homosexuality is "un-African." In doing so, Nkabinde helps to amplify other LGBTQ narratives in South Africa and around the continent. Nkabinde's most popular work is their memoir, "Black Bull, Ancestors and Me: My Life as a Lesbian Sangoma." Within the book, they explain their familial history and culture, particularly the importance of their ancestors and how this impacts their life. They also explore their strong and unwavering attraction to women throughout the book, and their dream of having a penis. They explain how the male ancestor after which they were named is dominant, present in their life, and influences their sexuality, including their identity as a lesbian. They attribute many of their strong sexual urges for women to the desires of their dominant male ancestor, Nkunzi. In 2004, Nkabinde joined Busi Kheswa to interview same-sex sangomas and presented this research with Ruth Morgan, the Director of the Gay and Lesbian Archives in South Africa (GALA). They shared their findings in Dublin, Ireland at a lesbian conference. Nkabinde was involved with the African Women's Life Story project.