According to the Centers for Disease Control and Prevention, men who have sex with men account for the largest proportion of cumulative AIDS cases amongAsian Pacific Islanders. Yet little is known about the factors that need to be addressed in developing culturally competent intervention strategies for members of this group. This article explores what factors HIV prevention service providers and active volunteers who are also members of the groups that they serve believe need to be addressed before a culturally appropriate intervention strategy for gay, bisexual, and queer Asian Pacific Islander men can be developed. Fifteen men participated in three focus groups, and seven of the men completed in-depth individual interviews regarding larger issues that are often ignored in intervention. Analysis ofqualitative data revealed five issues that participants said need to be addressed when working with members of this group.