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MSM vs. 6.4% HSM, p<.0001). In terms of treatment choices, HSM were more likely to undergo surgery (57.5% vs. 33%, p<.01), MSM were more likely to opt for radiation (47.6% vs. 14.9%, p<.05) and both groups were equally likely to choose active surveillance (14.9% vs. 16.7%).CONCLUSIONS: Our study shows no differences in what men with PCa find to be important when choosing PCa treatment by sexual orientation. No differences were seen perceptions or bother associated with common side effects of treatment. Despite this, more MSM appear to be choosing radiation therapy over surgery. A majority of MSM felt that there is a dearth of information on the impact of PCa treatment on their quality of life (QoL). Together, this highlights the need to offer MSM more information on side effect profiles of different PCa treatments with data on how each type of treatment impacts QoL, so that all men may make an informed decision when choosing treatment.