Queer (lesbian, gay, bisexual, transgender, intersex, questioning, two-spirited) youth are greatly overrepresented in the homeless youth population. The present review critically analyzes the literature on queer youth homelessness, with a particular focus on (a) methodological issues; (b) entries into homelessness; (c) programming needs; (d) targeted programming; and (e) exits out of homelessness. Results from this review demonstrate that homeless queer youth are a unique population who require specialized services, implemented by sensitive and knowledgeable staff. Recommendations focus on practical implications, policy implications, and ideas for future research.