Understanding the needs, wishes, and experiences of lesbian, gay, bisexual or transgender (LGBT) people is essential to those providing them with support and care as they grow older. This book demonstrates how biographical approaches can increase understanding about the distinct experiences and perspectives of older LGBT people. Chapters explore how life story work can offer insights into their expectations and fears surrounding care and service provision, and how issues such as past criminalisation, HIV and discrimination have had an impact on their lives and perspectives. The book also explores how to respond to the needs of older LGBT service users, drawing on the examples of projects that have built community networks and helped with service provision. This insightful book will be essential reading for all those supporting or caring for older LGBT people, as well as students and researchers in the health and social work fields.