Part 1 Background: biology of HIV infection, Anthony Borcich and Donald P. Kotler; epidemiology of HIV transmission by anoreceptive intercourse, Steven D. Wexner; pathophysiology of anoreceptive intercourse, A.J.G. Miles; precautions when managing the HIV infected patient, Timothy I. Davidson and Timothy G. Allen-Mersch; protection of the surgeon, Jonathan Rainey; examination of the anus and rectum in the HIV-infected patient, William P. Schecter; procitis, G.M. Connolly and D.A. Hawkins; anal and rectal ulceration, Maria Elena Soler and Lester Gottesman; anal and perianal sepsis, Bruce S. Gingold; warts and dysplasia, J.H. Scholefield and J.M.A. Northover; anorectal neoplasia, Craig E. Metroka and Alvaro Vallejo.