Although society has changed dramatically over the past few decades, lesbian and gay individuals and couples have unique issues and challenges living in a mostly heterosexist culture. Coming out issues, dealing with families who may not be accepting, and work-related stress are common issues of many lesbian women and gay men. Same-sex couples have struggles with intimacy, conflict, and sexuality, as do all couples. Additionally, questions about getting legally married, or having children can present unique challenges for lesbian and gay male couples. The staff at Choices has served the lesbian and gay community for over two decades, bringing expertise and sensitivity to daily struggles and unique issues facing same-sex couples.