The impact of gender on money matters in psychotherapy is examined. The article suggests that the focus of male and female therapists regarding money issues may differ. The tension between attending to the therapist's own needs and to the needs of the patient are discussed in the context of money issues. Differences in the actual fee and fee policies are examined, with some discussion of the meaning to both patient and analyst of lower fees charged by many women therapists. In addition, numerous clinical vignettes are offered to examine the use of money as a means of interpersonal power and communication. The assymmetries in the structure of the nuclear family are discussed as one possible source of these differing approaches to money. An awareness of one's own attitudes about money, including the culturally assigned sex role, is a prerequisite to understanding the role of money in the therapeutic relationship.