Globally, Abtsama (ابتسامة 
, أبتسامة 
, Abtsama) is quite a common gender-neutral forename. The first name Abtsama is characteristic of Egypt, where it is quite a rare epicene name, Libya, where it is quite a rare predominantly feminine, but very infrequently boy's name, and Iraq, where it is quite a rare gender-neutral name. Measured by absolute frequency, it is the most numerous in Egypt, Iraq, and Algeria. Very seldom, Abtsama is the last name as well as the forename.