Barbara Keesling has worked as a sex surrogate and sex therapist; earned a doctorate in psychology; written several bedside guides on lovemaking including Sexual Healing, Sexual Pleasure, and How to Make Love All Night; and taught human sexuality and psychopathology at Pepperdine University in southern California.

Keesling's expertise has been featured in numerous national magazines such as Glamour, Cosmopolitan, Redbook, and Marie Claire, and she appeared in an erotic Playboy pictorial. She is a frequent guest on national TV and radio talk shows.