Women of reproductive age are disproportionately affected by HIV/AIDS, and women with HIV/AIDS may be more likely to have unmet need for family planning and unintended pregnancies than women in the general population. All of these data indicate that women and couples living with HIV represent an important underserved group in need of contraceptive information and services. Family planning can improve the health of HIV-positive and -negative mothers by allowing them to space pregnancies and can prevent HIV-positive births to HIV-positive mothers. This article discusses options for integration of services, changes in the policy environment, and data on cost-effectiveness of integration.