There is a variety of families headed by a lesbian or gay male parent or same-sex couple. Findings from research suggest that children with lesbian or gay parents are comparable with children with heterosexual parents on key psychosocial developmental outcomes. In many ways, children of lesbian or gay parents have similar experiences of family life compared with children in heterosexual families. Some special considerations apply to the context of lesbian and gay parenting: variation in family forms, children's awareness of lesbian and gay relationships, heterosexism, and homophobia. These issues have important implications for managing clinical work with children of lesbian mothers or gay fathers.