Act immediately to significantly expand access to services. In many settings, basic tools and services are not available to GMT. There is a need for urgency in scaling up delivery of services, including condoms, lubricant, HIV testing, information about sexual risk reduction, and HIV treatment. There are many complex challenges in effectively addressing HIV among GMT, but these complexities must not stand in the way of immediate action to significantly expand delivery of basic services. Increased funding to address GMT & HIV is essential to make this possible.