Background <p>Social relationships are an important source of practical, emotional and nursing support, especially in the context of the need for care. As older lesbian, gay, bisexual, transgender, and intersex (LGBTI*) people frequently live alone and have children less often, non-kinship relationships take on a&#xa0;particularly important role. The extent to which non-heterosexual individuals develop (potentially compensatory) strategies to cope with episodes of needing care has, to date, rarely been the focus of research on aging.</p> Objective <p>To investigate the role of social support for older LGBTI* people with long-term care needs, including any implications for how this should be approached.</p> Methods <p>The international scoping review was conducted using the scientific databases: APA PsycInfo, CINAHL, Psychology and Behavioral Sciences Collection, PSYNDEX literature with PSYNDEX tests, BASE, Livivo, Pubpsych, PubMed, and Google Scholar. A total of 19&#xa0;articles were identified for analysis.</p> Conclusion <p>This article highlights three key themes related to social networks and care for older LGBTI* individuals: sociodemographic challenges, support resources, and structures for care of older persons and strategies for good quality of care. Family of choice connections are the backbone of social support for LGBTI* individuals but are also perceived as fragile when it comes to long-term care. Strategies for good quality of care include visibility of non-conforming sexual or gender identity, stigma management in long-term care facilities and proactive care planning. In order to support the compensatory effect of chosen family relationships among LGBTI* seniors, the development of diversity sensitive care and work with caregivers is needed. How this has been addressed to date and recommendations for future themes in gerontological diversity research are discussed.</p>