Sex offenders are often neglected by psychiatrists due to a deficiency in training and a lack of knowledge in the area of sexual offenders. Many sex offenders have a comorbid psychiatric illness, including paraphilic disorders. Research has established that sex offenders can be treated with evidence-based principles. Psychiatrists can serve a pivotal role in the evaluation and biological treatment of sex offenders. Together, psychiatrists can work toward primary prevention of sexual violence by learning the requisite skills to identify and treat risk factors of sexual abuse. [Psychiatr Ann. 2018;48(2):120-128.]