Surname Tsiana (Tsiana 
) , worldwide, is a rare last name. The cognomen Tsiana is characteristic of Botswana, where it is quite a rare surname, Greece, where it is a rare surname, and South Africa, where it is a very rare surname. Likewise, Tsiana is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Tsiana | Botswana, South Africa, Uruguay, Tanzania, Greece |