Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face many challenges when approaching the health care system. Among the most important is finding access to effective, informed, and affirming care. The medical literature has expanded its discussion of the health needs of LGBTQ people, though often addressing the issues from a strictly sexual behavior perspective (e.g., “men who have sex with men”). Specific knowledge and skills are essential for the health care provider to ascertain