This article is concerned with some of the theoretical and methodological complexities of collecting young people's preferences for sexuality education content and using them to inform educational practice. Data are drawn from focus groups and questionnaires undertaken by 16-19-year-olds. Participants' suggestions often reflect dominant discourses of sexuality circulating in wider society, providing insight into social norms and cultural contexts in which they live. Suggestions do not reflect dominant discourses in any simple way, but involve a complex interplay of these and subordinate meanings of sexuality. When working within a methodological framework that values and centres young people's perspectives, these proposals can be problematic. As dominant discourses of sexuality often reinforce social inequalities, programme implementation of young people's suggestions may perpetuate these. How to reconcile a commitment to a methodological paradigm that prioritises young people's perspectives with the creation of sexuality education which promotes social justice is discussed. (Contains 1 table and 6 notes.)