It comes form the latin name âSixtusâ which means sixth. Italians adopted the name as âSixtoâ then changed it to âSistoâ
Other counterparts of this name are âSixto, Seisto, Cesto, and Xistoâ
Pronounced as (See Stowe)
âThis is my sixth child, I donât know what to name him!â
âName him Sisto for sixthâ
âGood idea!â