Many persons with HIV/AIDS can and want to work. However, because of illness, reduced strength and stamina, and possible decreased cognitive function, it is difficult for some individuals to remain employed or to retain their original jobs. By using vocational rehabilitation and supported employment services, people with HIV/AIDS can remain in the workplace or seek employment appropriate to their changing abilities, thereby improving the quality of their lives and contributing to employers and society. Although the efficacy of supported employment is difficult to establish from current data, it is the next logical step in providing rehabilitation services to persons with HIV/AIDS. While not every individual with HIV/AIDS who receives vocational rehabilitation services will qualify for or need supported employment, it can be a valuable service for many individuals. Recommendations for working with staff, employers, HIV + clients, and vocational rehabilitation are discussed.