Some think Bethany has the face of someone we know . For example , Bethany could be Ali ' s twin , so Sasha Pieterse would have to play her , and it would be a huge spoiler to us because a twin reveal would be coming up . They didn ' t need to do that with Toby and Ali because we knew who they were . I don ' t know if I ' m down for this or any other twin except SpenceriettA , but it would be interesting to see a BethanyAlison switch reveal where soccer mom Ali is actually Bethany and the real Alison was dead , and the dental records hadn ' t actually been switched at all . I also think Charlotte saw herself as a boy because she felt she hadn ' t truly transitioned fully yet and still felt trapped in the wrong body . Just a thought to make sense of that .