Notably, in 2013, Maryland, Rhode Island, Delaware, and Minnesota became the 10th, 11th, 12th, and 13th states, respectively, to legalize same-gender marriage. Without legal recognition or social support from the larger society, the majority of same-gender partnerships in the U.S. are denied privileges and rights that are considered basic for heterosexual marriages. This manuscript draws from a national cross section of published survey data from 1996 to 2013 reporting Americans’ attitudes regarding same-gender marriage and civil unions. Social work practitioners have broad opportunity to apply their skills to the critical needs facing same-gender partners. After an overview of the legal status of same-gender marriages and their accompanying social and policy issues, recommendations are provided that include identification of specific needs for premarital counseling of same-gender partners and ensuring sensitivity to the myriad challenges they face.