Purpose of review: Sexuality is a complex dimension for which culture seems to play an important role, particularly in countries that are more traditional. This review summarizes the knowledge about sexual relationships in Hispanic countries, considering sexual debut, attitudes, behaviors and satisfaction.Recent findings: In line with the literature reviewed, the sexual double standard seems to be continuing to influence sexual relationships. Some countries show more open expressions of sexuality based on the level of gender inequality or sexualized context, and within countries, variables such as religious commitment, family characteristics and access to resources may play important roles in sexuality.Summary: Future research, policies and interventions should consider these specific characteristics, including these forms of expression of sexuality, in the adjustment of crosscultural and cross-national strategies.