Multiple unique barriers impede normative psychological and social development for gay and lesbian adolescents. Research suggests that geographic location plays a significant role in developmental outcomes for gay and lesbian adolescents. Acknowledging the ways in which urban gay and lesbian adolescents differ from their rural counterparts can provide a deeper understanding of the types of social stigmatization these individuals often internalize. This place-based perspective encourages educators, social workers, and policy makers to develop and implement appropriate social support networks and educational programming to best provide for this vulnerable population.