Mass media play an important role in contributing to public perceptions of lesbian, gay, bisexual and transgender people. They also provide the lens through which the LGBT community sees itself. This image has far too often been one delivered with ridicule and antagonism. Throughout much of early media history, LGBT people and issues were simply invisible. Once news and advertising media did start paying attention to these communities, the portrayals were oftentimes negative, leading to stigma and marginalization. Only recently have LGBT issues and people been covered in a serious and thoughtful manner—yet positive portrayals are still not universal. Through an examination of news coverage and advertising over the years, this chapter helps readers understand the impact of societal and cultural changes on this coverage. It concludes with advice on how to make media coverage more inclusive of sexual minorities.