LGBTI families, like all families, come in many different forms, and as with any family, the membership and structure of LGBTI families can change over time. 

LGBTI people often identify the importance of ‘chosen families’ referring to people not biologically related but who are family in addition to, or instead of, biologically related family.  LGBTI families face stigma in society, and sometimes from healthcare providers, including the lack of recognition of LGBTI families and the people that LGBTI people consider to be their family.