How do experts compare teaching, supervision and treatment from a psychoanalytic perceptive over the Internet with one another and with in-person work? Our methodology was based on the expert opinions of 176 teachers, supervisors and therapists in the China American Psychoanalytic Alliance (CAPA) who use video-conferencing (VCON) with Chinese students. The results from our on-line survey indicate: 1. The longer teachers teach, the more effective they rate teaching over VCON; 2. Teaching, supervision and treatment were all rated in the range of “slightly less effective” than in-person, with supervision rated significantly more effective than teaching and treatment over VCON; 3. When doing psychoanalytic treatment over VCON the issues of symptom reduction, exploring mental life, working on transference, relational problems, resistance, privacy issues, countertransference, are all equally rated in the range of “slightly less effective” than in-person treatment; 4. The highest significantly rated indications for treatment over VCON are “To offer high quality treatment to underserved or remote patients” and “When patient is house-bound or travel would be impractical;” and 5. The highest significantly rated contraindication for treatment over VCON is “Patient needs close observation due to crisis or decompensation.” Overall, VCON teaching, supervision and treatment from a psychoanalytic perceptive, compares favorably to in-person work, especially when considering its unique contribution to extending services where needed.