Although a proliferation of participatory studies has explored youth sexuality in the African context, very few studies have included youth with disabilities. This is inevitably a result of the misconceptions surrounding disabled sexualities and youth with disabilities’ competence in undertaking research. This article argues against these misconceptions by outlining a participatory sexuality study that worked with youth with disabilities as co-researchers in South Africa. In discussing the experiences of the young disabled co-researchers, the article troubles the constructs of power and empowerment in youth participatory research.