What if no one—gay or straight or bi, trans or cis or nonbinary—was “born that way”? In GENDER WITHOUT, award-winning psychoanalysts Avgi Saketopoulou and Ann Pellegrini challenge the argument widely embraced by rights activists and members of the LGBTQ+ community that gender identity is innate and immutable. “There is nothing wrong with being gay, queer, gender nonconforming, or trans, nor is any of these an undesirable or pathological outcome,” Pellegrini stresses. “Genderqueer and sexually diverse individuals can and do live full, pleasurable, exciting lives—which is not to say that they are spared the miseries that befall everyone as part of the human condition. Indeed, trans people and queer people should get to have all the feels, including negative or bad feelings.” With a vision of expanding the narrowminded view and treatment of queer and trans people by analysts and society at large, Ann Pellegrini talks with Mark Alyn about gender identity.