Sexual satisfaction plays an important role in the mental, physical, emotional, and relational lives of all individuals of all sexual orientations. However, the study of sexual satisfaction among lesbian, gay, and bisexual (LGB) individuals has been hampered by a number of conceptual and methodological shortcomings. Research on sexual satisfaction has largely been conducted among individuals in mixed-gender relationships, thereby developing and utilizing measures that are heteronormative, penis–vagina focused, and centered on monogamy. Although conceptualizations and operationalizations of sexual satisfaction in the lives of LGB individuals have been imperfect, some key findings related to this construct can be drawn from the literature. Sexual satisfaction is directly related to relationship satisfaction and quality of communication, and inversely related to homonegativity. It varies by relationship arrangements, commitment levels, living arrangements, individual difference variables (such as age, socioeconomic status, and religious affiliation), and sexual orientation. Research on sexual satisfaction can continue to grow by searching for core elements of sexual satisfaction that might be stable across all orientations, incorporating insights from both quantitative and qualitative methods, and being mindful of traditionally excluded populations, such as individuals who are lesbian, gay, or bisexual.