Fifty-one-year-old Madhuri is a long-term survivor of HIV who has been living on lifesaving antiretroviral (ART) drugs since 2005. Although she has endured many challenging side effects of medication, one of the most difficult has been the growth of a 'buffalo hump' on her neck over the years. This growth has now reached a point where it interferes with her ability to sleep, turn around, and be in public without attracting stares and jibes. Madhuri is also concerned that the hump may reveal her HIV status to others.