This report investigates audio-taped gynaecological exam interactions that took place between one nurse practitioner and 41 female patients. Twelve instances of verbal play were transcribed from these exam conversations and analysed in order to demonstrate ways in which play sequences display participants' orientation to non-medical goals of the exam. Such goals include recognising the practitioner and patient as persons rather than as technician and technical object and reducing the face-threat of the exam. It is suggested that the analysis of naturally occurring conversation permits access to the conversational practices used by interactants both to generate and to achieve multiple goals.