This Sexual Health Needs Assessment is a systematic review of the sexual health needs of the Wiltshire population. It examines current trends in sexually transmitted infections (STIs), contraception abortions and teenage pregnancies, sexual violence and Relationships, Sex and Health Education (RSHE). It includes a range of stakeholder feedback, both from Wiltshire residents about their experiences of using sexual health services, as well as professionals working in the county. It outlines a number of recommendations to inform and guide future efforts.