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Using interviews with GBTQ+ community members (~40) and primary care providers (~20) in the San Francisco Bay Area, I explore the biomedicalization and queering of sexual health. This work is in partnership with the SF Aids Foundation and attempts to weave together insights from key stakeholders (re-)negotiating the way sexual health and sexual health care are constructed and offered in an era of PrEP, U=U, and DoxyPEP. By centering the lived experiences of GBTQ+ individuals and their medical providers, I shed light on what cultural (re-)negotiations of sexual health are currently taking place for GBTQ+ folk in the SF Bay Area and how these insights are impacting the way we understand sexual health knowledge and praxis. My findings examine the social construction of sexual health risk, the use of embodied queer knowledge to undermine cis-heternomrative ideas of sexual health, and how community-based, queer ways of knowing are first leveraged by patients and then negotiated by providers.