Navigating medical school can be especially challenging for LGBTQ+ medical students. LGBTQ+ medical students may face unique barriers and struggles in personal and professional development because the LGBTQ+ identity is o en unrecognized or unacknowledged within medicine. Currently, there is not enough support for LGBTQ+ medical students. One emerging resource to navigate transitioning through medical training is near-peer mentorship. A near-peer mentor is a peer who is at least one year senior to a mentee in the same level of educational training and provides guidance on career development and psychosocial growth. Given the generally small number of LGBTQ+ medical students at each institution, near-peer mentorship would have to happen at both a local level and through social media. In this article, we explore the barriers that LGBTQ+ medical students face, the importance of near-peer mentoring, and examples of potential mentorship programming.