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In this case report, the author does not specifically describe a case but an existing phenomenon in the relationships of Chinese gay males. Internalized sissyphobia (IS) means one’s fear or hatred of one’s and others’ effeminate verbal and non-verbal behaviors. Chinese gay males learned the IS from their families and societies. Moreover, IS causes problems for themselves, their partner in a relationship, and others in the gay male community. The purpose of this case report is to invite more researchers, sociologists, psychologists, therapists, social workers, and activists to deal with these presenting problems. As an existential therapist, the author tends to help them accept their effeminate traits, deal with their fears of becoming effeminate, and understand about the formation of sissyphobia, in order to reducing their self-blame and anxiety; as well as making everyone feel free in all relationships.