The issue of sexual orientation in conjunction with deaf identities has not been extensively studied. In this chapter, a clinical psychologist and a licensed professional counselor, both of whom are deaf, have canvassed current literature to provide the reader with an overview of this topic. They intricates on how LGBTQ identities become socially medicalized and minoritized, how development of these identities occurs, the diversity as well inequity within this multifarious and electric group of individuals, the multiple oppressions experienced by many LGBTQ who are Deaf or hard of hearing, and the intersectional issues especially confronted by certain Deaf LGBTQ groups, including people of color and transgender youth and adults. They rely on the lenses of social justice and intersectional analysis to buttress their points.