This chapter explores the nature of tensions in team communication that do not stem from interpersonal conflict or the actions of individual team members. Instead, tensions result from relational dialectics. Relational dialectics theory insists that interpersonal relationships are inherently dialectical. That is, they are constructed from opposing tendencies (e.g., hierarchy and equality) that form a contradiction that team members must deal with. Other relational dialectics that shape how interprofessional teamwork unfolds include e.g. autonomy–connection, stability–change, expression–non-expression. However, some relational dialectics, such as guidance–control, personalization–standardization, and having the right to care–deserving care, can help interprofessional teams to think more broadly about patient–professional relationships. The yardstick of good interprofessional communication must be awareness of the dialectics underpinning interprofessional relationships and competent management of the tensions they create.