Older women with HIV/AIDS constitute an invisible population that is often ignored by organizers of HIV prevention efforts as well as by HIV and aging organizations. This article explores the importance of a feminist approach to practice with a population affected by the intersection of ageism, sexism, and AIDS phobia. A support group for midlife and older women with HIV/AIDS is described, and four themes that were identified by the group participants are discussed. AIDS service organizations, the aging network, and policy makers must begin to recognize the critical need to support and assist older women with HIV/AIDS.