Waves Ahead Puerto Rico, a non-profit organization serving LGBTQ+ older adults, conducted a study to address their mental health needs. Following a review of the key results of previous research on the mental health of older adults in general as well as LGBTQ+ older adults, the study then examines the unique mental health challenges that are experienced by the LGBTQ+ group. The research focused on the limited information available in Puerto Rico regarding older LGBTQ+ adults. The study employed a mixed methods design, consisting of 462 surveys and 20 in-depth interviews.