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Sexuality education is a crucial component of public health. As various health institutions and scholars recognize, ensuring equitable access to this education for K-12 students is vital. However, in Canada and the United States, there are ongoing controversies regarding the delivery and content of sexuality education. These controversies reflect a dissonance between public school curricula and the diverse beliefs and values within a pluralistic school environment. Current policies may fail to reflect students’ diverse cultural backgrounds and lived experiences. In this paper, I propose a culturally sustaining approach to sexuality education (CSPSE). CSPSE centers students’ implicit knowledge to address their health needs and support their holistic development in a diverse society.