The associative speech of a subject in relationship with an interlocutor sometimes gives rise to the classic sex/face equivalence, giving a clinical understanding of the substitutive correspondences between « low » and « high », but also of what this will come to mean for a subject, which is proper to him and unknown to him. Thus the case of Anaïs invites us to consider the correspondences among throat, gaze, eye, female genitalia, all condensed into the generic image of the « hole », in a case where the experience of a tracheotomy offers a fitting support for the expression of her psychical reality and her subjective positions.