It is one of the first programs in the United States that addresses the needs of lesbian , gay , bisexual and transgender LGBT cancer survivors and those at risk and the only one founded and directed by members of the LGBT community. There are a number of local lesbian cancer programs and one national lesbian health organization, Mautner Project. In , the National LGBT Cancer Network was selected to develop an LGBT cultural competence in healthcare curriculum that became mandatory for all 38, employees of the municipal hospital system [1]. Lesbians, gay men and transgender men and women experience disparities in availability of health insurance [2] and are considered to be at increased risk for multiple types of cancer, based on behaviors such as high smoking and drinking rates, high fat diet, receptive anal intercourse and positive HIV status.