The ageing of the population is a reality surrounded by challenges, especially in terms of comprehensive care. The daily routine of health services, however, is based on fragmented care, which leaves important dimensions, such as sexuality at this stage of life, invisible. As a result, the number of elderly people living with HIV/Aids has increased significantly, bringing new physical, emotional, psychological and social issues to ageing, as well as drawing a panorama of particularities marked by the absence of public policies that do not reach this reality, whether in terms of planning, implementing or monitoring these policies. In view of the above, we present dialogues with the actors involved in this context, managers, health professionals, the elderly and organized civil society, mapped in discourses that show the existence of care for the elderly that does not take into account the multidimensionality of aging. This book therefore addresses these actors and others who, directly or indirectly, are concerned about the invisibility of sexuality in old age and all the consequences of this short-sighted attitude towards the elderly.