A he/him lesbian or hesbian refers to a lesbian who uses he/him pronouns but is still a woman, woman-aligned, or non-aligned. It is a more specific form of pronoun non-conformity and crosspronoun usage. A he/him lesbian does not identify as male because pronouns do not always equal gender, however, the pronouns one uses are another part of gender expression, just like one's clothes or behavior. In the same way some non-binary individuals are more comfortable using pronouns other than they/them, some binary individuals may feel more comfortable using pronouns other than the one's typically associated with their gender. Feeling a disconnect from womanhood is a common experience among lesbians- though they still identify as women through their sapphic attraction. Similarly to how some lesbians might go by masculine names or present as a butch to express this disconnect a lesbian may also refer to themself by he/him to express a disconnect from their gender.

A he/him lesbian can be a cis woman or a trans woman. However, the term he/him lesbians does not include trans women use who he/him pronouns purely because they are not out yet. The term he/him lesbian only include those who actively identify with and want to go by he/him pronouns. One can go by he/him pronouns exclusively, or one can be multipronoun.

Neopronoun gays, neopronoun lesbians, she/her gays, they/them lesbians, it/its lesbians, it/its gay individuals and they/them gay individuals also exist.