The City and County of San Francisco, originally ground zero for the HIV epidemic in the United States, is redefining public health HIV interventions, potentially positioning San Francisco as one of the first major metropolitan cities in the world to reach zero HIV infection cases, zero HIV-related deaths, and zero HIV-related stigma. As innovative as the Getting to Zero campaign appears to be, it fails to formally incorporate and respond to a fundamental matter pertinent to HIV prevention, HIV treatment, and San Francisco: housing. This research explores service gaps present in Getting to Zero by investigating the relationship between class, race, and HIV, specifically by emphasizing the role housing (or lack of housing) creates in shaping health outcomes related to HIV