In a landmark judgment, the Supreme Court lifted a colonial-era ban on gay sex. Earlier, the criminalization of such adult sexual behaviour hampered responses to HIV across the country. There was a negative impact on delivery of HIV prevention programs, and access to treatment by HIV-infected people. Not only did this violate their basic human rights, but further stigmatized the LGBTQ population. The need is to ensure full respect for them through repeal of laws that prohibit sexual acts between consenting adults in private, enforcement of laws that protect them from violence and discrimination, promotion of campaigns that address homophobia and trans-phobia, and ensuring that their crucial health needs are met.