The author reports on his extensive experience using telephone sessions for psychoanalysis of patients whose other commitments prohibit their meeting regularly with the analyst. He has found it to be a productive alternative method of work. Contrary to expectation, the telephone has not in itself proved to be a distancing mechanism, although it may be and has been used as such. Patients come to verbalize the kinds of physical appearance and activity that are obvious in the conventional analytic setting; they are thus not lost to psychoanalytic attention. For comfort, one should use a speaker telephone. Both patient and analyst must have private areas in which to conduct the session. The patient should have specific times during which to call; late or missed calls and requests for changed times are treated as if the patient were attending in person. The analyst needs to maintain normal psychoanalytic technique, including neutrality, free floating attention, and tolerance for long silences. There is a brief selected bibliography on the use of telephone sessions in psychotherapy.