Lesbian, gay, bisexual, transsexual, transgender, and queer (LGBTQ) youth are overrepresented in the homeless youth population in North America. This review brings together the literature on the topic of LGBTQ youth homelessness and provides a comprehensive overview of the unique needs of this population, as well as gaps and barriers to support. The review culminates in recommendations for support services and further research on this topic. This review should be particularly useful for youth shelter and service providers, and policy makers to respond to the needs of this population and to enhance knowledge in this area more broadly.