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The present article examined couple service utilization in adults in same-sex relationships, as well as satisfaction with couple services, and preferences regarding content, delivery, and tailoring of services. Couples accessed services relatively infrequently and were generally dissatisfied with the usefulness of such services. Most participants (87%) endorsed the importance of couple interventions being tailored specifically for same-sex couples. Concerns such as financial constraints and time limitations were identified as barriers to accessing services, in addition to stigma-related barriers such as fear of discrimination and a lack of appropriately trained practitioners to work with same-sex couples. It is expected that the findings of the present article can inform future research and practice and help to improve the relationships of same-sex couples.