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In Issue 5 of last year’s IJP we published a controversial discussion titled: “Can we think psychoanalytically about transgenderism?” The participants were Avgi Saketopoulou, a New York psychoanalyst who has worked extensively with trans adults, trans children, and otherwise gender variant patients in various private and institutional contexts and stages of transitioning and London analyst, David Bell, who in his role as a Staff Governor of the Tavistock and Portman NHS Foundation Trust was approached by a large number of clinicians who were working in the Tavistock Gender Identity Development Service (GIDS). They raised very serious ethical and clinical concerns which formed the basis of his subsequent report which was part of the chain of events leading to the Judicial Review which found that children and young people lacked the capacity to consent to this treatment. Since then he has researched the area of gender dysphoria in children. The controversy included a paper from each of these analysts. We reserved for a later time the discussion of each other’s papers, normally included within the same issue. We are now publishing this discussion, which was held in a new and very different format, one which we thought would be helpful to the elucidation of this complex issue. Rather than inviting written responses we invited the two authors to an exchange within the context of a live Zoom meeting, with me (R. B.) as moderator. We had originally planned to publish the transcription of the live meeting with minor editorial modifications in order to avoid redundancy, for purposes of confidentiality, and to allow for focusing of the issues. To facilitate the last aim we also added headings. But in the process of the approving the edited transcription it was greatly expanded. Additions by one discussant in the effort to present fuller and more accurate positions required response by the other and ultimately a further series of written exchange