Even though sex is a basic human need (even a human right in the Netherlands), it can be one of the overlooked needs for people living with disabilities. Talking openly about sex, sexuality, sexual desire and sexual identity, as well as navigating sexual relations and reproductive rights and contraception, is awkward enough for many people. Add to this the burden of South Africa’s hangover of a Calvinistic apartheid past where the Immorality Act policed sexual relations. On top of this is the harsh reality of being a person living with a disability in an ableist world. There are even more complexities, and experiences of exclusion, when the person with a disability is queer identified, and/or gender non-conforming, or transgender. TT is in conversation with Postdoctoral Research Fellow at the Division of Disabilities and Rehabilitation Studies at Stellenbosch University - Dr Vic McKinney.