South African child welfare organisations are currently faced with a huge task. Not only must they find strategies to tackle poverty and redress the inequalities created by apartheid, but in addition they must develop effective models of care to support children and families affected by the rapidly spreading HIV/AIDS epidemic. This paper by Mary Harber looks at the implications of HIV/AIDS for the mainly black South African children and families affected by the epidemic and considers the consequences for child welfare organisations. It looks in particular at the role of adoption in South Africa and its potential to become a viable model of care for children affected by HIV/AIDS. It presents the results of research undertaken by the author which examined the achievements of, and dilemmas faced by, one child welfare agency as it attempted to adapt the ‘Western’ model of adoption, which is prevalent in South Africa, in order to create a more appropriate service for black South African children.