This year’s Sexual and Gender Diversity Summit in New Mexico was all about health, tackling the topic: “New directions for LGBTQ health and wellbeing.” I had the pleasure of being invited to give a keynote and it was a packed house. Almost 200 people crowded into the University of New Mexico auditorium on a Saturday to spend dawn til dusk hearing about health concerns of subpopulations in the larger LGBTQ communities and to discuss what was working and what needed to be done about those things that weren’t working. I especially liked the gender diversity panel and to hear how their state equality group has really taken a leadership role on fighting for health equality. Best yet though was being reacquainted with the longstanding LGBT tobacco control project in that state, some may remember STOMP, it’s now be rebranded to Fierce Pride and I assure you their presence was exactly that, fierce and fun.