As the nation’s Latino and Mexican American population continues to rise, social workers must consider the unique experiences of these groups. The decision to reveal a lesbian, gay, or bisexual (LGB) identity is often difficult and painful. This decision can be compounded for Mexican American individuals as Latino heterosexual attitudes about sexuality continue to act as a barrier for Mexican American LGB individuals and their families who live along the U.S.-Mexico border. This article reviews the implications of lesbian, gay or bisexual disclosure within Mexican-American families who live along the U.S.-Mexico border. This manuscript reviews the traditional Mexican American family and the role of acculturation in the disclosure process. Implications for culturally competent social work practice, recommendations for clinical practice, and recommendations for future research are discussed.