This may come as a shock, but surrounding myself with people who love me just the way I am has vastly improved my mental health. In smaller cities, informal groups, such as friendship groups and networks, were used. Recruiters for individual-level efforts included study staff, community advisory board members, consultants, study participants, health care providers, friends, partners, and community leaders. The following are other barriers that were identified by study participants: Consultants and staff who worked in the field were generally known by community members and, in some cases, were referred to the project by board members and other community leaders. Significant differences in the power of individual facilitating factors and barriers were associated with socioeconomic status and acculturation into the larger LGBT community. One of the reasons I left Ohio was to get away from their toxic influence. One supporter, who was motivated by his belief in the importance of the study, recruited 15 men. In my experience, Pittsburgh has been very gay-friendly. Men who did have health insurance also were attracted to the study, because they could obtain tests they were reluctant to get from their personal physicians, who were not aware of their sexual orientation. However, information is often not enough to generate motivation. In Pittsburgh—the smallest city in the MACS—the minority communities had the least awareness and interest in HIV, possibly because the epidemic in that city is predominant among MSM and is only slowly being embraced by minority communities. The 2 products repeatedly cited by study participants in Pittsburgh during the s were protecting individual health and a sense of altruism. The experiences of the 4 sites are presented here in a systematic way that may provide a framework for other recruitment efforts that target minority men. The cohort had aged, and some of the new cohort were middle-aged men. Interest was high in Los Angeles, Chicago, and Baltimore; however, even in those cities, segments of the minority community were less aware of HIV. He is a gay man.