Conversion therapy, also known as reparative therapy or Sexual Orientation Change Efforts (SOCE), consists of counseling or treatment to change someone's sexual attraction from homosexuality to heterosexuality. In 2019, New York City repealed its politically motivated ban on this, just two years after trying to prohibit it. On November 20, 2020, the U.S. Court of Appeals for the Eleventh Circuit struck down bans on conversion therapy in Florida.

The Bible and Christian faith are powerful methods of becoming a heterosexual. Because ex-homosexuals exist, this helps explain why homosexual activists have sought laws prohibiting conversion therapy in many states, and liberal California, Oregon, New Jersey, Illinois and the District of Columbia have banned this therapy for minors. But on February 24, 2015, an Oklahoma House committee passed a bill to protect the right to conversion therapy, and the therapy remains fully lawful in the vast majority of the United States. Liberal Dem Governor Andrew Cuomo has tried to ban it for minors by issuing an unusual executive order in New York.

The successful approaches are aided by a change in someone's activities, such as sports, to an elimination of the animosity that someone might be harboring, such as anger towards his father. Conversion to Christianity and regular attendance at church can help; Paul referenced converts from homosexuality to Christianity in the New Testament. Aversion therapy, by which someone is averted from an unwanted activity or attraction by associating it with something mildly unpleasant, is an additional approach.

Sports activities correlated with very low rates of homosexuality are baseball, football, basketball, boxing, martial arts and wrestling. Studies show that 25% of teenagers experience ambiguity in orientation at some point. Central to the homosexual agenda is to recruit as many of those teenagers as possible into the movement, without telling them that they can choose heterosexuality instead.