In this article, authors argue that teachers are dealing with the consequences of HIV/AIDS in their schools and classrooms. By focusing on the pastoral care of teachers work with learners, authors explore the ways that teachers understand the care component of their school work, and describe what they actually do for learners who are either infected or affected by AIDS. Many teachers are in some or other way involved in care work, but the conditions of schools determine the nature and extent of the care work that teachers are called to deliver. In most schools there are no staff employed specifically to provide counselling though well resourced schools often are able to employ counsellors to assist learners. Teachers in the schools with the least resources are frequently those required to provide the most demanding forms of support and care to learners. This article is based on interviews with secondary school teachers in the greater Durban area who are responsible for the delivery of the life orientation curriculum in their schools.