An examination of the role of the Seventh-day Adventist church in the provision of pastoral care to individuals with gender-identity confusion; same-sex attraction; histories of same-gender sexual activity; active homosexual or bisexual lifestyles; and those with transgender or intersex issues.

The discussion references pastors' personal attitudes and professional responsibilities; the congregational context; the influence of biblical interpretations, theological perspectives, philosophical considerations, and sociological forces upon pastors' and parishioners' understanding; and the variability of life experiences of individuals who do not describe themselves as heterosexual.