This chapter deliberates not only the personal and collective psychic challenges placed on Palestinian clinicians under different modes of settler-colonial “sovereignty,” but also how, in confronting these challenges, Palestinian clinicians have built and continue to build and expand autonomous clinical “commons” that unite historic Palestine and its clinicians. The chapter explores the centrality of indigenous knowledge production and examines how Palestinian clinicians understand their position within larger modes of psychoanalytic knowledge production and how their organizing presents counter-technologies that ensure the continuity of autonomous Palestinian lives and livability. The chapter concludes with showcasing of several autonomous and Palestinian-run clinics across historic Palestine.