Explores the complex moral and psychological dilemmas surrounding truth, lies, secrecy, and trust for individuals living with HIV/AIDS. The authors conducted ethnographic research, interviewing a diverse group of participants including gay men, heterosexual men and women, and injecting-drug users, to understand their decision-making processes regarding disclosure to sexual partners, family, friends, and colleagues. The text also examines the historical and policy contexts of the AIDS epidemic, including debates on public health, confidentiality, and legal responsibilities like partner notification, drawing connections to philosophical discussions about truth-telling and deception. Ultimately, the work highlights the personal burdens and societal pressures that shaped individuals' choices in navigating a stigmatized and life-threatening illness.