aids2031 was commissioned by UNAIDS to take a look a long term view and consider future options for the aids epidemic and response towards 2031, which will mark 50 years of aids. The aids2031 final report will be released in July 2010. A critical emerging recommendation is to tailor HIV prevention and treatment strategies to local needs - which are different not only across, but within countries. Prioritization will be particularly important in resource poor settings. This session will consider how locally tailored responses can help accelerate universal success - where universal access is understood as access to services for those who need them.