The number of LGBTQ+ older adults is increasing. It is estimated that by 2060 there will be 20 million. This population often faces discrimination, inadequate access to care and poor quality of life. They experience higher rates of disability, poor physical and mental health. This seminar will discuss historical perspectives and social challenges that influence LGBTQ+ older adults. Using case studies, strategies and interventions will be discussed to manage chronic medical conditions, mental health and end of life care. Practical tips for making practice changes to be inclusive will also be discussed.