The present paper presents a discussion of reflexive constructions in Kakataibo, a Pano language spoken in Peruvian Amazonia. The language exhibits a productive verbal reflexive, which is mainly used on transitive verbs, as well as a middle marker which is also used to express reflexive meanings. Kakataibo emphatic pro- nouns and the noun nami ‘body’ can also participate in reflexive constructions, but require additional indicators of co-referentiality: emphatic pronouns require the presence of the verbal reflexive marker, whereas the noun nami ‘body’ needs a possessive marker and an emphatic clitic. Their need for extra markers of coreference suggests that neither emphatic pronouns nor the noun nami ‘body’ are fully grammatical reflexive nominals.