The current status of the literature on sex offender assessment, risk prediction, and treatment would lead most readers to posit that there is significant heterogeneity between types of offenders. Incest offenders, in particular, are commonly thought to be much different from the rest. Intra‐familial offenders have generally been found to recidivate at lower rates than extra‐familial sex offenders and they are generally believed to pose little risk outside the family network. In contrast, three assertions are made in this chapter. First, the so‐called incest taboo is itself a myth. Second, the degree of victim category crossover is so substantial as to render the designation of incest offender of limited utility. Third, there is little empirical support for assessment considerations to differ substantially for incest offenders as opposed to other sex offenders that come to the attention of authorities and treatment providers.