Two recent articles in the Journal of Analytical Psychology (JAP) outlined different conceptualizations of gender and gender-affirming care. Tyminski (2024) advocated for an updated, expansive model of gender, whereas Marchiano, Papert and Withers (2025) referred to what is considered a more traditional Jungian framing of gender. This paper examines the premises of each perspective, and what evidence supports each perspective. This paper critiques claims that that the evidence does not support a gender-affirming perspective, and that gender-affirming perspectives are potentially harmful to clients.