Female same-sex intimate partner violence (FSSIPV) is a significant problem that affects the physical and mental health and the safety of sexual minority women. A mixed-methods study was conducted to (a) identify risk and protective factors for victimization and perpetration of repeat violence in abusive same-sex relationships and (b) examine participant experiences with system responses (by domestic violence services, criminal justice systems, and health care services) to FSSIPV. The purpose of the article is to report the findings from the qualitative component (e.g., focus groups and individual interviews) of the parent study that are specific to survivors' perceptions of and experiences with domestic violence services, criminal justice systems, and health care services. The findings indicate a significant need across all systems for increased awareness, enhanced understanding, and provision of services specific to survivors of FSSIPV.