One out of six males is sexually abused (Dong, Anda, Dube, Giles & Felitti, 2003; Najman, Dunne, Purdie, Boyle & Coxeter, 2005). Insufficient research exists about this phenomenon to pass the threshold from the exploratory stage the stage of empirically proven research (Thomas, Nelson & Sumners, 1994; Romano & De Luca, 2006). As a result research proven practices are not available to guide counselors and counselor educators in the identification and treatment of sexually abused boys and men. Even fewer studies exist that explore how counselor variables influence effectiveness when working with sexually abused men and boys (Richey-Suttles & Remer, 1997; Lab, Feigenbaum & Silva, 2000). Given this context, the purpose of this study is to examine counselors’ perceived effectiveness when working with sexually abused boys and men. Participants were drawn from a pool of 200 licensed professional counselors (LPCs) currently practicing in the field drawn from the Minnesota Board of Behavioral Health and Therapy and the State of Wisconsin Department of Regulation and Licensing. Counselors, N = 41, responded to the survey by providing basic demographic information as well as ranking measured items for a conjoint analysis. Data were analyzed using a full profile, conjoint analysis with an additive model of 4 variables with 2 levels each (2 X 2 X 2 X 2). The resulting theoretical model is sexual abuse training, 34.77%, direct therapy with sexually abused men, 32.54%, personal history of sexual abuse, 16.73%, counselor sex, 15.96%. Counselors indicated a preference for male specific sexual abuse training and more experience in direct therapy with sexually abused men, a male counselor and a counselor with a personal history of sexual abuse.