Few studies have examined social work students' reflections on and experiences working with lesbian, gay, bisexual, queer, and questioning persons and addressing the intersection of race/ethnicity and sexuality within practice. This study explored current master's of social work student (n = 11) and recent graduate (n = 7) reflections on conducting an objective structured clinical practice interaction with an African Canadian youth coming out as a lesbian. Narrative thematic analyses of reflective dialogues highlighted a variation of competence in gay affirmative practice across attitudes (managing personal reactions), knowledge (addressing diversity; terminology and information), and skills (readiness; challenging heterosexism). Curriculum development and agency-based training is recommended to address gaps in knowledge and competence regarding gay affirmative approaches.