Everybody knows that gender expression and sexual orientation are two independent dimensions. Rather, for a long time, psychoanalytic theorisation about homosexuality has overlapped male homosexuality with 'femininity' and female homosexuality with 'masculinity'. This overlapping, based on a binary and stereotyped idea of 'masculine' and 'feminine', has nevertheless delayed the theorisation both on gender and sexual. As clinicians, have the possibility of not only helping people to recognise and follow the directions of their desires, also to compose the absolutely personal sense of identity between gender, sexual orientation and social culture. They have to work for the integration of the fluid and flexible components of identity with those components needing stability and shared definitions. Grasping the singularity of each condition and, at the same time, recognising the contingencies that qualify that condition, making it plural. Everything permanent, everything that belongs to the hardening of habits, must be made fluid; everything volatile and uncertain must be anchored and solidified.