This article discusses considerations for integrating spirituality into feminist multicultural counseling (FMC) with diverse lesbian, bisexual, and queer (LBQ) women clients. First, the authors describe the historical conflict between LBQ women and conservative religions and explain how hierarchical, patriarchal assumptions and values of conservative religions may have a negative effect on wellbeing and empowerment. Second, the authors describe the positive influences of affirming religions and spiritualities on LBQ women's resilience within oppressive sociocultural contexts. Third, the authors explore the relevance of FMC when integrating spirituality into counseling with LBQ women. Fourth, the authors provide an overview of a model of FMC framework for integrating spirituality into FMC. Finally, we provide a client vignette example. KEYWORDS bisexual, feminist multicultural counseling, lesbian, LGB, queer, spirituality, women In recent years, counselors and psychologists have begun to examine the inclusion and integration of clients' spiritual preferences into the processes of counseling and psychotherapy (A notable gap in this literature pertains to counseling with lesbian, bisexual, and queer (LBQ) women. This article discusses critical considerations for integrating spirituality into feminist multicultural counseling (FMC) with diverse LBQ women clients. First, we describe the historical conflict between conservative religions and spiritualities as they affect LBQ women and explain how hierarchical, patriarchal assumptions and values of conservative religions may have a negative effect on these women's overall psychological well-being and empowerment. Second, we describe the potentially positive influences of affirming religions and spiritualities on LBQ women's ability to cope with oppressive sociocultural contexts. Third, we explore the relevance of FMC when integrating spirituality into counseling practice with LBQ women. Fourth, we provide an overview of a model of FMC counseling as a framework for integrating spirituality into FMC. Next, we provide a client vignette example to illustrate spiritually integrative FMC counseling. Finally, we discuss the implications of this model for LBQ women and make recommendations for practice.