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The need for models of optimal sexuality in sex therapy and the lack of theoretical and especially empirical foundations are discussed. Specifically, what lessons can be gleaned from those who seek and attain extraordinary sexual relations? As a preliminary part of a study of optimal sexuality, individuals who report having had “great sex” were interviewed. The six major themes emerging from the initial 50 hours are described. These are conceptualized as building blocks toward the farther reaches of human erotic potential and consist of being present, authenticity, intense emotional connection, sexual and erotic intimacy, communication, and transcendence. Clinical implications of these findings are discussed. The need for sex therapists to acquire and transmit new methods and skills is considered.