HIV/AIDS has “devastated Black America and continues to do so,” Royles emphasizes in his introduction to this signal study, one of the first scholarly histories to focus on organized responses to the epidemic by African Americans (4). Black men, women, and trans people all remain significantly more likely to have HIV than other racial/ethnic groups in the United States, making it especially important to learn from past approaches to HIV/AIDS prevention and treatment in the Black community. In seven roughly chronological chapters that span from 1985 to the present, Royles presents seven very interesting and concise organizational case studies, charting a wide range of grassroots responses to the epidemic in cities including Philadelphia, San Francisco, New York, Chicago, and Atlanta.