Outside of major metropolitan areas, the fight for lesbian, gay, bisexual, and transgender rights has had its own unique and rich history—one that is quite different from the national narrative set in New York and California. Out in Central Pennsylvania highlights one facet of this lesser-known but equally important story, immersing readers in the LGBTQ community building and social networking that has taken place in the small cities and towns in the heart of Pennsylvania from the 1960s to the present day. Drawing from oral histories and the archives of the LGBT Center of Central PA History Project, this book recounts the innovative ways that LGBTQ central Pennsylvanians organized to demand civil rights and to improve their quality of life in a region that often rejected them. Full of compelling stories of individuals seeking community and grappling with inequity, harassment, and discrimination, and featuring a distinctive trove of historical photographs, Out in Central Pennsylvania is a local story with national implications. It brings rural and small-town queer life out into the open and explores how LGBTQ identity and social advocacy networks can form outside of a large urban environment.