The provision of sexual health services to young people is a key issue - particularly given concern over young people's sexual health. But what kinds of services do young people want? And what has been shown to work? Drawing on findings from a recent national survey of health trusts, "Get Real" gives a snapshot of the sexual health services on offer to young people in England. It also looks in detail at five projects from around the country, describing different approaches and what young people think of them. The report looks at how to design services that young people want to use, as well as at opportunities for partnerships, funding issues and how to involve young people. "Get Real" should be of interest to commissioners of sexual health services, to practitioners working in this field and to policy-makers.