Intersections of age, race, gender, sexuality, and aging keep older, black lesbians hidden from public consciousness and from researchers. While previous research has documented a relationship between religion, civic engagement, and health for black women, there is little known about these for older black lesbians. This paper offers a quantitative analysis of the relationship between religion, health, and civic engagement for a sample (N=149) of older (fifty years and above) black lesbians. The sample is drawn from the Social Justice Sexuality (SJS) data set. Findings indicate that the variables measuring religious and/or spirituality expression had no impact on perceived overall health, nor did the overall measure of civic engagement; yet a specific portion—participating in civic activities—did have a significant, positive effect on overall self-reported health.