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Most adolescents and adults identify themselves as heterosexual. However, paediatricians and other health care providers must be aware of the significant psychological, social and medical issues that face young people who are gay, lesbian or bisexual. Almost all of these issues arise from the stigmatization that these youth face, rather than from the orientation itself 1 , 2. Rather, the practitioner must create an environment in which the adolescent can discuss any questions or worries that they have, whether they identify themselves as homosexual, have found that they are attracted to people of the same gender, have had a sexual encounter with someone of the same gender or are confused about their feelings.