Saskatchewan is among a number of regions in Canada, such as Manitoba and even our nation's capital, currently experiencing alarming spikes in the spread of HIV. B.C. has an impressive track record for slowing the spread of HIV/AIDs in the province. The B.C. Centre created a Treatment as Prevention strategy which provides widespread access to HIV testing, care, support and treatment. Keys to the strategy's success have been political commitment, programmatic focus, ongoing innovation coupled with monitoring and evaluation, appropriate resourcing and free services (including fully free antiretroviral therapy (ART)).