They:

1. Live with a “hereness” in the present that focuses their will to power not on the ideals of heaven, but by better achieving what they want on earth. Even to the point of philosophically rejecting the gender they were “given by god”
2. Engaged in a self-directed process of becoming and then overcoming focused against their own dysphoria. Same process as the ubermensch.
3. Shape their own terms, their own reality and their existence. “Invent” genders, invent terms, invent descriptions they engage in it all. Even if the face of societal scorn.
4. Ignore massive social backlash and moral standards to instead boldly define their own identity and own existence, even in some cases unto death to be who they are.

Strict gender designation by circumstances of birth and worship of biological sex is slave morality.