Sexuality is a continuing human need common to all people. However, sexuality of the aging population has received minimal attention as a significant component of older adults' lives. Residents of long-term care facilities are particularly burdened with numerous barriers to achieving sexual satisfaction. Despite the barriers, the continuing sexual needs of the elderly must be addressed with the same priority as nutrition, hydration, and other well-accepted needs. This article provides practical guidance to assist health care professionals assess and manage the sexual needs of older residents of long-term care facilities.