This synthesis of 30 qualitative studies examined young people's views on pornography related to their sexual health. Synthesis revealed pornography use is considered normal by young people, reinforced by its usefulness as a tool for pleasure, information, and instruction in the absence of sufficient sexuality education. However, youth can become distressed by misogynistic, racist, homophobic, transphobic, or violent pornography content. Youth lack spaces to discuss pornography with trusted adults, leaving them to manage their use without support and potentially leading to harmful attitudes and unrealistic expectations about sex. Implications include the need for additional research and increased access to inclusive sexuality education.