Our goal in this chapter is to provide an overview of the struggle of sexual minorities in Slovakia for inclusion in the political sphere since 1989. Such inclusion can be conceptualized as sexual citizenship, and it constitutes an important test of civic values. Our chapter will assess points of progress but also resistance to Slovak sexual minorities’ inclusion, and it will situate their situation vis-à-vis their counterparts in East Central Europe. We plan to examine sexual citizenship in Slovakia from three vantage points. First, we will examine comparative survey data on public attitudes both over time and crossnationally to identify trends. Second, on the basis of primary sources, previous field research, and the secondary literature, we will describe and assess the development of LGBTQ+ activism in Slovakia since 1989. Finally, we will examine the response of other actors in Slovak politics, especially the populist radical right, to attempts to expand sexual citizenship.