The family--via communication (or lack thereof)--is a primary avenue for sexuality education. While most research on family sexuality communication has examined the content of parent-child communication (e.g. topics discussed), relatively few studies have assessed the process, the way in which communication occurs. This paper presents an analysis of communication process based on data collected during a qualitative, observational study of family sexuality communication with thirty low- and middle-income African American mothers and their adolescent daughters living in an urban area in the southeastern USA. Two dimensions of communication process emerged: affective and stylistic. Elements of the affective dimension included connection, empathy, comfort, anger, and silence. Elements of the stylistic dimension included interactive versus didactic communication styles, use of a variety of persuasive techniques, body language, and setting. Results suggest that the process of sexuality communication is as, if not more, important than content and that affectively open and stylistically interactive sexuality communication is related to the context of close and connected mother-daughter relationships. (Contains 1 table.)