The present study investigated how somatic psychotherapists understand gender and work with it in clinical practice, in order to address a silence regarding gender in the recent literature of somatic psychology—especially in the last generation since the advent of magnetic resonance imaging (MRI) of the brain, and a new reliance on neuroscience for grounding somatic psychotherapeutic practice. Following grounded theory methodology as articulated primarily by Cathy Charmaz (2006), the researcher interviewed 16 somatic psychotherapists from a wide spectrum of gender assumptions and gender identities. Data coded from the transcripts suggested a cyclical process for participant understanding of gender, alternating between expert and naive positions, and illustrating how bodily experience, linguistic influences, implicit and explicit narrative sources, and codified relationships comprise a process for understanding and exploring gender, gender identities, and gender assumptions in clinical practice and beyond.