American schools, especially their physical education and sport programs, provide some of the most hostile social geographies in all of society for gay youth. With the aim of transforming schools toward more democratic and sexuality sensitive institutions, this paper reviews the literature on sexuality and education. In the review, three themes, critical for educators pursuing sexuality sensitive change in schools, are presented. These themes include the following: cultural experiences of gay and lesbian youth in the home, community, and school; consequences of sexuality-based victimization; and the role that physical education teachers and sport coaches can play in fostering sexuality sensitive schooling.