This article presents the first systematic review of all the existing peer-reviewed literature (n = 20) on gay and lesbian parents and their children in early childhood education settings. The review includes articles that were empirical or pedagogical practice oriented, focused exclusively on early childhood education (Birth to 5 years), and concentrated on gay and lesbian parents and their children. Considering the date range of the articles (1990-2012) and their similar content, indications are that the field of early childhood has not progressed very far in the thinking and practices in relation to gay and lesbian parents and their children. Recommendations made in 1990 are being put forth as still needed today. Implications for pedagogical change and future research needs are provided.