How the remote presence of the analyst directly affects the role of seeing and hearing in analytic work and how the Gaze and the Voice are resituated by electronic media are significant factors in the conditions of current practice. It has long been recognized that physical setting and space play an important role in the experience of psychoanalytic treatment. The presence of the analyst and analys and in the same space, voice, appearance, and proximity are all implicit factors in the processes of transference, discourse, interpretation, and working through. Although remote treatment by electronic media has long been an option, the COVID pandemic has made it the norm and increased the urgency that we understand the effects of these changes.