Health care needs of lesbian, bisexual, and transgender (LBT) women are inadequately addressed in nursing education and practice, which may contribute to heterosexism and homophobia on the part of health care providers. Nurses have an obligation to use available tools and resources to assess and positively transform health care environments to ensure high-quality care for LBT women. The context within which care for LBT women is learned, practiced, and experienced requires radical improvement.