The editors provide a thought-provoking resource for anyone concerned with sexuality and gender identity in health and social care settings. Drawing on current research and debates, the contributors explore some of the tensions between the different ways in which sexuality is understood and experienced. A focus of the book is on how categories like 'lesbian', 'gay', 'bisexual', and 'trans' shape everyday practice and service use. It looks at the circumstances in which people choose to describe themselves with these identity labels and the situations in which they reject or feel constrained by them. A particular feature of the book is its combination of a nuanced understanding of the nature of sexual identities with practice-relevant and grounded examples taken from health and social care settings, with a Scottish focus. Intended primarily for a practitioner audience and for those studying in the field of health and social care this volume will also interest academics and an international audience because of its distinctive theoretical sophistication about the nature of sexual identities.