The clergy sexual abuse crisis in the Catholic Church is complex. While first and foremost a terrible violation of victims, it is not only about sex or abuse. It concerns unchecked, divinely sanctioned patriarchal power and its devastating consequences. The author reviews the theological issues at stake, including patriarchy, sexuality and sexual ethics, and sin. She argues that addressing the roots of the crisis calls for taking seriously the contributions of feminist theologians to the thinking of the church, especially about establishing relationships of mutuality and equality between clergy and laity.