The expression of sexual behaviors and lifestyle is a choice for all teenagers, regardless of sexual orientation. This expression is a concern for adolescents in the same way that relationships, intimacy, trust, and competent decision-making are also general concerns.  When the gay or lesbian adolescent is given the opportunity to develop within a supportive, nurturing, and accepting environment, the probability of serious mental health issues is no more likely than in the general adolescent population. Contemporary practice in adolescent medicine makes it important that child and adolescent psychiatrists, pediatricians, and family practitioners are able to deal with some of the primary care concerns surrounding adolescent sexuality: teenage pregnancy, sexually transmitted diseases, and lack of sex education. This CCB aids the child and adolescent psychiatrist or primary care provider to better understand how to assess, plan treatment, and provide a supportive medical base for gay, lesbian, bisexual, and transgender youth. Attendees have the opportunity to pose questions and discuss areas of concern they face in clinical practice.