Descriptive content analysis was used to explore counseling trainees' perceptions of factors associated with comfort addressing HIV/AIDS in counseling. Six themes emerged from the data: knowledge, fear, HIV stigma, personal experience, personally held beliefs, and sex/sexuality. Implications for addressing knowledge, fear, and stigma in counseling and counselor preparation are discussed. Additionally, suggestions for incorporating HIV/AIDS into the academic and experiential aspects of counselor education are included.