The target paper had the purpose of drawing attention to something “beyond countertransference”—the impact of the therapist’s psychology on the treatment, not in reaction to the patient, but as desires and defenses that operate throughout. The illustrative issue was a speculation that my development and analytic engagement carried elements that led me to interact with women patients in a way that increased the likelihood of their conceiving. The respondents reacted differently to the provocative aspect of this idea, but have in common a recognition of the analyst’s desire as an important part of the relationship. A further case vignette is introduced in this reply to examine some of the points raised by the respondents, in particular how the analyst’s desire may be expressed in a form that is modulated by the analytic role and at the same time has an impact on the patient’s life decisions. In sum, we are players in the drama of analytic work, and the more we think about what and how we are ourselves in treatments, the more informed our inevitable impact will be.