Research has suggested that the majority of psychologists feel underprepared to provide services to lesbian, gay, and bisexual clients, including same-sex couples. To provide competent services to same-sex couples, psychologists must be aware of and sensitive to legal status issues. One special area of vulnerability for couples can be addressed and at least partially alleviated by advance planning for possible medical crises, including the death of a partner. The creation of wills, powers of attorney, and advance medical directives can create and protect the rights of partners during these times of crisis. Issues related to minority stress may discourage couples from planning. Case illustrations of culturally competent practice in dealing with issues of minority stress and advance planning are provided. ELLEN D. B. RIGGLE earned her PhD in political science from the University of Illinois at Champaign. She is an associate professor of political science and associate director of the Women's Studies Program at the University of Kentucky. Her research interests include sexual minority legal rights and gay, lesbian, bisexual, and transgender political and policy studies. SHARON SCALES ROSTOSKY earned her PhD in counseling psychology from the University of Tennessee. She is an associate professor of educational and counseling psychology at the University of Kentucky. Her research interests include same-sex couple relationships and healthy adolescent and adult psychosocial development and well-being.