This article describes an intervention known as the Peer Family Life Education Project that was designed as an alternate delivery method of an established family life education curriculum in an urban middle school setting. The factors contributing to sexual risk behaviors by urban adolescent populations are identified. A review of previous efforts at peer health education is presented. Program development and implementation is described. The strengths and weaknesses of the program are discussed, and suggestions for improving future efforts at the incorporation of peer health education to reduce sexual risk behaviors by adolescent urban populations are presented.