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Thailand is subject to a rapid process of population ageing. It was also the first country in Asia to be affected by the AIDS epidemic and one of the hardest hit. The generalized availability of antiretrovirals has transformed HIV from a lethal to a chronic infection. The objective of this paper is to show how this change has affected intergenerational relationships in the families of adult patients infected with HIV and under treatment, and more specifically the relationships between patients and their elderly parents. Comparing the situation of these families to that which prevails in the general population, our results show that thanks to HIV treatment, their regained health allows patients to work, take care of their families and fulfil their filial duties as expected in Thai society.