Purpose: The purpose of this paper is to examine the relationship between sexual health principles and the procurement of sexual services. Most that has been written about sex work has been done so from the perspective of deviancy; in contrast, recent work examining the practice of sex work has explored and evidenced how emotional and intimacy needs are met through procurement. Recognising the conventional aspects of procuring sexual services, this paper seeks to examine and understand this social practice through applying Braun-Harvey and Vigorito’s (2015) six principles of sexual health. Design/methodology/approach: Based on a mixed method approach, this paper presents findings from a survey consisting of a sample of 309 men who procure s...