Study explored correlates and predictors of sexual satisfaction among older adults in same-sex relationships by examining internalized homophobia, resilience, sexual communication, and relationship satisfaction. Online survey elicited 265 participants (54% female, 46% male), aged 60–75, in same-sex relationships from 1 to 47 years. Participants reported high levels of relationship satisfaction and resilience, moderate levels of sexual communication and sexual satisfaction, and low levels of internalized homophobia. Stepwise multiple regression analysis indicated relationship satisfaction contributed uniquely to the prediction of sexual satisfaction. Relationship satisfaction was positively correlated with sexual satisfaction and resilience and negatively correlated with internalized homophobia. Internalized homophobia was also negatively correlated with resilience. Recent estimates indicate there are over three million U.S. citizens over 65 who consider themselves LGBTQ, many of whom are in same-sex relationships. Therefore, given the paucity of research and misconceptions about this population, findings, and recommendations are of value to educators, clinicians, and policymakers. [ABSTRACT FROM AUTHOR]