This article reviews recent court cases (Keeton v. Anderson-Wiley, 2010; Ward v. Wilbanks, 2010; Ward v. Polite, 2012) in which students have sued their educational institutions because of their requirements regarding education and training in lesbian, gay, bisexual, and transgender issues. The purpose and characteristics of professions are addressed as is the responsibility of the helping professions to train multiculturally competent providers. Finally, the issue of personally held beliefs and client welfare is discussed—including the issue of referring clients to other providers because of one's personally held beliefs. In the United States, we reside in an ever-changing and diverse cultural context. This context provides a foundation for the con- duct of psychologists and other mental health professionals and, accordingly, for their education and training. The Ethical Princi- ples of Psychologists and Code of Conduct (American Psycholog- ical Association (APA), 2002a) instructs psychologists to do no harm, to manage of interest that might result in exploi- tation or harm, to be mindful of the possible harmful effects of our work, and to eliminate the effect of biases based on such factors that include, but are not limited to, race, ethnicity, culture, age, gender, gender identity, sexual orientation, socioeconomic status, disability status, and religion. There are explicit standards in the Ethical Principles of Psychologists and Code of Conduct (APA, 2002a)—as there are in other codes of ethics in the helping professions—that require providers of mental health services to obtain the necessary education, training, experience, or consulta- tion to provide effective treatment to clients regarding these fac- tors. But what happens when a student contends that such education, training, experience, or consultation conflicts with his or her deeply held personal beliefs? The profession has recently expe- rienced a number of such challenges. These challenges have in- volved students who have sued their educational institutions over this issue and the fact that some states have supported their right to do so. The ethical codes of the helping professions, which are fundamental to the profession and the education and training of professionals, have been set against the U.S. Constitution and the personal freedoms it protects (i.e., freedom of religion and freedom of speech). In addition, the increased focus on multicultural com- petence in mental health service provision has resulted in the adoption of educational approaches that highlight sensitivity and an appreciation of difference and cultural context. As a result, conflicts have surfaced in the form of court cases, legislation, and challenges to the helping professions that involve their very pur- pose. Not surprisingly, the conflicts have surfaced in the area of education and training and working with lesbian, gay, and bisexual (LGB) clients because of personal beliefs against same-sex rela- tionships. At Eastern Michigan University (Ward v. Wilbanks, 2010) and at Augusta State University (Keeton v. Anderson-Wiley, 2011), students have sued their institutions over this issue and some state legislatures are supporting their right to do so.