The ageing of the world’s population is one of the most significant demographic trends of this era, and there are a growing number of people aged 50 and older living with HIV in the world today. With the size of this demographic growing, there will be an increased need for long-term access to HIV and other health services. This group includes men, women and transgender people. A large proportion of people aged 50 and older are sexually active. Like younger people, people aged 50 and older also need HIV services, although their needs are often overlooked, neglected or ignored.