What contributions can LGBT activists make to eliminating the inequities that drive the HIV epidemic in countries that are hostile to sexual and gender minority rights? In In Breaking Barriers: Sexual and Gender Minority-led Advocacy to End AIDS in Africa and the Caribbean, Robin Lin Miller and George Ayala tell the story of a transnational partnership among community activists from eight countries to address the entrenched stigma and discrimination that blocks sexual and gender minority people from accessing affirming HIV care.