This article draws on three narratives from a Canadian research project on LGBTQ people and fertility clinics to illustrate how LGBTQ bodies, identities and family configurations are frequently misrecognized and unintelligible in the fertility clinic context. The flow of the patient through the clinic is disrupted by the inability of clinic staff to disentangle the assumptive links made between body parts, gametes, gender, sex, sexual orientation, sexual practice and family configuration. The author explores how the gender and kinship labour' and processes of objectification that typically operate in the fertility clinic to bolster conventional masculinities and femininities break down in relation to queer and trans bodies, and offers the beginnings of a framework to assist practitioners, and others, to conceptualize and work more effectively with LGBTQ people.