Full text available at http://www.tandfonline.com/doi/pdf/10.1080/14681811.2012.761897Old Enough to Know is a product of a two-year innovative research project involving three countries in sub-Saharan Africa, namely Tanzania, Kenya and South Africa, exploring what and how children want to learn about sex and AIDS education. It provides critical insights into sexuality research with children through the use of creative participatory methodological approaches.