Recent research into the needs of marginalised young men in the inner west of Sydney found that there are serious problems related to service accessibility for this group. This article explores some of these key issues related to accessibility including: the help-seeking behaviour of disadvantaged young men; organisational barriers, such as the absence of flexibility and spontaneity in some organisations; the need to examine service rules and culture with regard to issues of punctuality and anger; and structural barriers, such as opening hours. It is argued that there are frequently tensions between the needs of the most marginalised young men and the needs of agencies that offer them assistance. (Contains 5 notes.)