Purpose: Reported use of and satisfaction rates of vocational rehabilitation (VR) services among a small sample of lesbian, gay, bisexual, and transgender (LGBT) persons living with various chronic illness and disability (CID) conditions in the United States were explored. Method: Data were pulled from a larger data set that was collected via the Internet. A quantitative research design using descriptive statistics and Pearson chi-square tests were used to analyze the data. Results: Sexual minorities living with various CID conditions are presenting to VR for vocational services. Sexual minority women- and bisexual-identified persons were more likely to report dissatisfaction with VR services than gay men. Conclusions: LGBT persons are experiencing an array of CID conditions and using VR services. More consideration of LGBT issues in rehabilitation counseling is necessary.