HIV/AIDS LONG-TERM SURVIVOR * YOUTH EDUCATION * ADVOCACY * ACTIVISM * RESOURCES
It’s About More Than Survival—It’s About Living Fully
Aging with HIV is a balance of accepting the physical realities while still refusing to let them define who we are. For many of us, the virus and the treatments have shaped our lives, but they haven’t stopped us from creating meaningful, fulfilling lives. We’ve built families, communities, and legacies—stories of survival that prove that we’re still here, still living, and still striving to make the world a better place.
What defines us isn’t just the time we’ve survived with HIV—it’s the strength we’ve cultivated, the lessons we’ve learned, and the community we’ve built along the way.
As Someone Who’s Living Through It...
Aging with HIV isn't something anyone can prepare for. I know. I’ve lived through the battles that come with being diagnosed, fought through the stigma, and made it to the other side. But now, it’s about learning to accept the body that’s changed, the scars that are deeper, and the new set of challenges that come with getting older.
I’ve felt the weight of the years—the physical toll HIV and its treatments have left on me. There are mornings I don’t bounce out of bed like I used to, and moments when my body feels worn. But I don’t let those moments define me. I still show up, still fight, still connect with the people around me, and still live with purpose. And you know what? That’s enough. It has to be.
Aging with HIV isn’t just about what happens to our bodies. It’s about what happens to our spirits. We may have scars, but we also have wisdom, love, and a drive to keep pushing forward. Every year adds to the story of who we are—a story of resilience, strength, and survival. And that story is far from over.
~ At 62, Bob Bowers continues to live, educate, and advocate as a long-term survivor of HIV/AIDS in Houston, Texas.
Aging with HIV/AIDS doesn’t mean stop playing—Long-term survivor Bob Bowers is still in the game.
"You call him One Tough Pirate. The man. The myth. The absolute badass. Bob Bowers isn’t just a survivor—he’s a force. A walking, talking, tattooed sermon. His story doesn’t quietly ask for your attention. It grabs you by the soul and demands you sit up, shut up, and listen."
The True Tale of One Tough Pirate - Bob Bowers' life story
"I don’t preach from pulpits. My sermons are sidewalk-born. Sometimes they start with a compliment about my ride, and end with a grieving stranger in tears over a brother lost to AIDS. That’s how it happens. Every. Damn. Time. Not because I go looking—but because I am looking. For connection. For meaning. For redemption. I don’t hunt down the hurting—I am the hurting. I just happen to be loud, tattooed, and too stubborn to shut up."
The Gospel According to One Tough Pirate - Bob Bowers' documentary/docuseries
There was a time when I would have bet every cent I had on being just another statistic—someone whose name would be spoken in hushed tones, if at all. Another story of someone who didn’t make it. Yet, here I am, still standing, and every day feels like I’ve outplayed the odds.
In 2004, I found myself speaking to a room full of medical students at the University of Wisconsin. I was nervous, as usual, especially since I hadn’t done many university presentations at that point in my years of advocacy. But this wasn’t just a job or another presentation on HIV/AIDS—it was about being of service, about pouring my heart and soul into everything I did.
To break the ice with these bright future doctors, I tossed out one of my “I hope I make you think” moments. With a smirk, I said, “In 1984, when I was diagnosed, if you put Bob Bowers, JFK Jr., and Princess Diana into a pool as to who would have survived (then 20 years later), I definitely would’ve put my money on the Princess, not my sorry ass!”
The laughter was loud and real, and the message landed with impact: life’s unpredictable, and none of us knows exactly how long we have.
What an honor and blessing it is to be growing older and continuing to live and thrive with HIV/AIDS.
Today, thanks to improvements in the effectiveness of treatment with HIV medicine (called antiretroviral therapy or ART), people with HIV who are diagnosed early and who get and stay on ART can keep the virus suppressed and live long and healthy lives. For this reason, more than half of people with diagnosed HIV in the United States and 6 territories and freely associated states are aged 50 and older. Many of them have been living with HIV for many years; others were diagnosed with HIV later in life.
I just wanted to tell you that your site brought both tears to my eyes, chills to my skin, and peace to my heart. I have not been directly affected by AIDS on a personal level, however, being a nurse, my final goal is to be involved in the fight for research and a cure. I never look at people's websites, but something told me to check yours out. I have been directly affected by cancer several times which is another type of research I'd like to do, but I feel like the Lord is pushing me to work with HIV/AIDS patients and I'm not really sure why. And I love your saying Compassion is our cure.... b/c it is the truth in this world through and through. I just really wanted to say I think it's awesome what you are doing, and I wish more people would be on the proactive side of this fight.
~ Erin
You have to be one of the most amazing men. This just shows people that you can't tell from the outside someone is living with AIDS. Protect yourself and others. I love how open and honest you are about your life. And how AIDS hasn't made you lay down and die.
~ Bren
People aging with HIV share many of the same health concerns as the general population aged 50 and older: multiple chronic diseases or conditions, the use of multiple medications, changes in physical and cognitive abilities, and increased vulnerability to stressors.
The Intersection of HIV and Aging
As people with HIV live longer, we are confronted with the complexities of aging in ways the general population doesn’t face. The intersection of HIV and aging presents distinct challenges that require more than just physical resilience—it demands emotional, mental, and social strength too. Here’s a quick look at the reality:
While these facts are critical to understand, they don’t define us. We are defined by the grit, love, and determination to continue thriving, no matter the obstacles.
Living with HIV is a journey, but aging with it is an entirely different chapter—one that’s written with perseverance, wisdom, and a deeper understanding of what it means to truly live.For those of us who’ve lived through the early years of the epidemic, aging with HIV has always felt like navigating uncharted territory. As medical advances have extended lives, we've learned that HIV isn't just about surviving—it’s about thriving despite the challenges, in a world that often doesn’t acknowledge the nuances of growing older with the virus.
A 2015 review of prescriptions for testosterone therapy showed that men with HIV in the United States were two-and-a-half times more likely to be receiving it than HIV-negative men.
Between 1996 and 2016 I had to give myself (self-inject) injections of testosterone (Vitamin T) in my thigh or buttocks. It never got easy for me to do.
Testosterone therapy linked to faster progression of atherosclerosis in men with HIV
HIV and Male Hypogonadism: A Persistent Challenge Even With Effective ART
—A recent study assessed the prevalence and risk factors of hypogonadism in men living with HIV and shed new light on a persistent challenge.
Nutrition and Aging with HIV/AIDS
Exercise and Physical Activity
Learn more
HIV/AIDS doesn’t care who you are — it cares what you do.
While many still wrongly assume HIV only affects the LGBTQ+ community, the truth is that heterosexual men have always been a part of this fight. From the 1980s to today, straight men have been living with, advocating through, and surviving HIV. We’re not statistics. We’re fathers, husbands, veterans, teachers, athletes, and advocates. And we're not silent anymore.
Surviving HIV/AIDS for 41 years has been a rollercoaster of emotions.
I've witnessed the loss of countless friends, battled physical and emotional struggles, and experienced my share of highs and lows.
There have been moments of survivor's guilt, questioning my own luck while others succumbed to the disease.
Yet, through it all, I've clung to hope, never forgetting the importance of educating others, battling stigma, raising awareness, and fighting for a cure.
The journey has been arduous, but I'm grateful for the strength and resilience it has instilled in me. I've learned that even in the darkest of times, there is always light to be found.
And so, I continue to fight, never surrendering to the virus or the challenges it brings.
YOU'VE GOT THIS!
NEVER EVER SURRENDER!
NEVER EVER FORGET!
~ Bob
#NHAAD #HIVandAGING
Mr. Bowers has been an HIV/AIDS educator/activist/advocate for over 3 decades.
It's surreal to be aging with HIV and to be 62. God is good! -- Bob Bowers 42-year survivor.
Movement is medicine!
Working out with HIV is vital for physical and mental health.
Fitness instructor Bob Bowers has been exercising while living with HIV/AIDS for the last 42 years.
One Tough Pirate
Houston, Texas, United States
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Bob Bowers aka One Tough Pirate
www.onetoughpirate.com
Houston, Texas - All Rights Reserved.
Website last updated on September 7, 2025
End HIV/AIDS! Never surrender! Never forget!
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