On this World AIDS Day, San Francisco AIDS Foundation reflects on our past while looking ahead to the future of HIV. We pay tribute to the countless individuals—leaders, activists, survivors, volunteers, educators—who courageously confronted the growing epidemic in our community. We also mourn the loss of numerous loved ones, friends, and family members. Additionally, we celebrate the resilience of the survivors who have paved the path, demonstrating what it means to thrive while living with HIV. Today, we carry with us the weight of more than four decades of HIV and AIDS history, all while remaining optimistic about a future marked by health equity for all.