This document discusses the isolation experienced by rural lesbians and ways to respond to their needs. It notes that over 1/3 of Australians view lesbianism negatively. For rural lesbians, the closet provides protection from prejudice but also isolation. Individual isolation is exacerbated by stigma, fear of discovery, and reduced support. Health practitioners should recognize lesbianism as a culture and institutions should treat all couples equally. The document calls for responses to address the isolation of rural lesbians.