Cognomen Mtsho (Mtsho 
) , globally, is a very rare last name. The cognomen Mtsho is characteristic of Sub-Saharan Africa, particularly South Africa, where it is a very rare surname. Very seldom, Mtsho is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Mtsho | South Africa |
| 'jam dbyangs thub bstan rgya mtsho Chinese politician (b. 1944) |
|