The landscape of clinical practice in and with transgender communities necessitates the importance of applying analytic neutrality to transgender health. The counterargument that we should keep politics out of psychoanalysis is a quaint privilege for those who are unthreatened by political forces attempting to legislate and litigate them out of existence. Our practice is in fact informed by our context and the political landscape, which, without careful thought, can weaponize our work against trans people, patients, and analysts alike. The following will discuss the intersections of identity, countertransference and its impact on theory and clinical practice, the effects of which can result in epistemologically violent approaches to theorizing gender and clinical work with gender diverse people. Theorizing is not just an academic exercise; it has a direct consequence on individual lives in the consulting room. Our tenet of acknowledging and examining countertransference is the scientific technique of neutrality and is foundational to practicing an ethical psychoanalysis.