Sexual and gender minority (SGM) individuals have unique healthcare needs yet frequently encounter negative healthcare experiences. These negative encounters with the healthcare system may lead to SGM individuals delaying or avoiding healthcare, which may exacerbate health disparities. We sought to qualitatively examine the healthcare experiences of SGM adults to better understand how SGM adults define SGM-affirming healthcare experiences. We also aimed to add to the literature by asking SGM participants about their future aging and healthcare concerns such as family involvement in medical decisions and end-of-life care. Nineteen semistructured individual interviews were conducted with SGM adults to gather information about the process of finding an SGM-affirming provider, coming out in a medical setting, the components of affirming care, the results of affirming care, the components of nonaffirming care, the consequences of nonaffirming experiences, and aging concerns regarding healthcare. A thematic analysis approach was used to analyze interview data. Results showed unique insights into the techniques used to find SGM-affirming providers and what SGM adults hope for in their healthcare encounters. This qualitative study builds on a body of literature that has documented significant disparities in healthcare access and quality for SGM individuals. The results of this study highlight important aspects of SGM-affirming care, outline understudied healthcare concerns for SGM people, and may guide healthcare providers in improving the quality-of-care experiences for their SGM patients.