Sex problems of the disabled person are just starting to receive attention in nursing literature. Perhaps nurses have thought that sexual problems were medical rather than nursing concerns. We believe that this is not so, and offer some specific suggestions for nurses who are interested in either primary or secondary sex counseling for disabled people. Our information is based on personal experience and on interviews and observations of persons with cerebral palsy, muscular dystrophy, postpoliomyelitis neurological damage, and traumatic injuries. From these sources, as well as the literature, it seems safe to conclude that a major cause of frustration and anxiety among the severely disabled is fear of sexual inadequacy(l1,2,3). This fear is also a significant factor in the depression, or other symptoms, of a newly injured person, and even remains a nagging concern among some people who have been disabled from birth.