diff --git a/pandas/core/arrays/sparse/array.py b/pandas/core/arrays/sparse/array.py
index edda8f6de331c..4cb47f1035127 100644
--- a/pandas/core/arrays/sparse/array.py
+++ b/pandas/core/arrays/sparse/array.py
@@ -52,6 +52,7 @@
 )
 from pandas.core.dtypes.common import (
     is_array_like,
+    is_bool,
     is_bool_dtype,
     is_datetime64_any_dtype,
     is_datetime64tz_dtype,
@@ -181,7 +182,6 @@ def _sparse_array_op(
         ltype = SparseDtype(subtype, left.fill_value)
         rtype = SparseDtype(subtype, right.fill_value)
 
-        # TODO(GH-23092): pass copy=False. Need to fix astype_nansafe
         left = left.astype(ltype)
         right = right.astype(rtype)
         dtype = ltype.subtype
@@ -945,13 +945,18 @@ def __getitem__(
             )
 
         else:
-            # TODO: I think we can avoid densifying when masking a
-            # boolean SparseArray with another. Need to look at the
-            # key's fill_value for True / False, and then do an intersection
-            # on the indices of the sp_values.
             if isinstance(key, SparseArray):
                 if is_bool_dtype(key):
-                    key = key.to_dense()
+                    if is_bool(key.fill_value):
+                        msk = np.full(
+                            shape=len(self),
+                            fill_value=key.fill_value,
+                            dtype=np.bool8,
+                        )
+                        msk[key.sp_index.indices] = not key.fill_value
+                        return self.take(np.arange(len(self), dtype=np.int32)[msk])
+                    else:
+                        key = key.to_dense()
                 else:
                     key = np.asarray(key)
 
diff --git a/pandas/tests/arrays/sparse/test_array.py b/pandas/tests/arrays/sparse/test_array.py
index cc48918981338..98f82d1d584e0 100644
--- a/pandas/tests/arrays/sparse/test_array.py
+++ b/pandas/tests/arrays/sparse/test_array.py
@@ -248,6 +248,16 @@ def test_scalar_with_index_infer_dtype(self, scalar, dtype):
         assert arr.dtype == dtype
         assert exp.dtype == dtype
 
+    # GH 23122
+    def test_get_item_bool_sparse_array(self):
+        spar_bool = SparseArray([False, True] * 5, dtype=np.bool8, fill_value=True)
+        exp = SparseArray([np.nan, 2, np.nan, 5, 6])
+        tm.assert_sp_array_equal(self.arr[spar_bool], exp)
+
+        spar_bool = SparseArray(~spar_bool.to_dense(), dtype=np.bool8, fill_value=False)
+        exp = SparseArray([np.nan, 1, 3, 4, np.nan])
+        tm.assert_sp_array_equal(self.arr[spar_bool], exp)
+
     def test_get_item(self):
 
         assert np.isnan(self.arr[1])