These notes on the question of Psychoanalysis and Institutional Practices in Latin America were first evoked by my experience of charring the XVIII Congress of the Latin American Federation of Analytic Group Psychotherapy (FLAPAG) which happened from October 30 to November 1st, 2009. By focusing on this subject, the congress has highlighted an ongoing tendency: the growing of work experiences in institutional contexts underpinned by a psychoanalytical approach which go much beyond the standard psychoanalytical setting. Most of the times, this work does not follow the common guidelines for psychoanalytical treatment, but represent a new inventive use o psychoanalytical theory. It is thus necessary to think about the way psychoanalytical theory has made from the couch to this new scenery. At the same time, it is necessary to explicit the hardship and suffering that many professionals have been coming across in such work and thus guide our efforts, as a professional class, towards dealing with this situation. There lies a battle field with different fronts: from rallying for better working conditions and social transformations to scientific development and reflecting about the kind of training we have been offering.