As new medical technologies are increasingly being promoted in the prevention and treatment of HIV, and heralded as interventions to be used within communities of key populations including sex workers, NSWP urges the international HIV community and donors to take the concerns of sex workers presented in this report seriously and continue meaningful engagement with key populations in this shift towards the use of biomedical interventions. For years sex workers around the world have been developing and sustaining sex worker-led HIV prevention, treatment, care and support programmes.