This article is based on qualitative data collected in a survey of 736 LGBT people residing in the region of Montreal and other regions of the province of Quebec. This survey revealed that women report lower levels of satisfaction than men regarding access to adequate health and social services. Problematic aspects include the presumption of heterosexuality, the disclosure of sexual orientation, inadequacy of sexual health services and the discomfort of professionals with gender nonconformity. This article highlights these shortcomings as well as recommendations to make social and health services adequate to the needs of lesbian and bisexual women. This article also adds to research that focuses on the specific social and health services barriers faced by lesbian and bisexual women.