This program review examined a middle school Gay-Straight Alliance (GSA) club within a northeastern suburban school situated in a large metropolitan area. The GSA was the first in the region to start exclusively in a standalone middle school. The review was accomplished through a staff survey comparing school climates for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) students at this middle school with a demographically matched middle school without a GSA club in the same region. Staff at the middle school with the GSA club also completed a semi-structured questionnaire to evaluate further how the GSA club affected the school environment since its inception. Results indicated the middle school with the GSA club had a more welcoming environment for LGBTQ students in a variety of categories compared to the middle school without a GSA. The establishment of a GSA club and impact on the school are discussed.