Re:PFsense NAT is symmetric, result: no SIP (VoIP) (Score 2, Interesting)

Lacking the knowledge of the internal workings of PF, I do have to say that I have never had a problem with SIP. My home phone is through Vonage behind pfsense and I routinely connect while on the road to a friends Asterisk box to make phone calls with a soft phone and bluetooth headset on my laptop. He has a pfsense router and all of his trunks are SIP. Several users are simultaneously connected using SIP from remote locations and properly routed out the SIP trunks. Not to doubt that you have had things that do not work; I am only relating my experiences. I must also state that the SIP traffic shaping appears to work beautifully there as I really don't have any call issues that are not related to the bandwidth available at my remote location(s).