There are numerous barriers to the achievement of sexual and reproductive health rights (SRHR), particularly for people living with HIV (PLHIV). In this article, which is based on his presentation at a concurrent session at the conference, Shaun Mellors, who is living with HIV, discusses the need for PLHIV to help lead efforts to ensure that their SRHR are addressed. The author also describes specific actions that donors can take to support the SRHR of PLHIV.