The document summarizes a sexual health survey of gay, bisexual, and other men who have sex with men in Vancouver called ManCount. The survey was a collaboration between several health organizations and had three main objectives: to measure HIV, Hepatitis C, and syphilis prevalence and to track testing trends and sexual behaviors. Over 1,100 men participated in anonymous questionnaires and testing. Key findings included a 4.9% Hepatitis C prevalence, 4.4% syphilis prevalence, and 13.6% of HIV-negative men believing they were likely to get HIV. Testing rates were high but some gaps remained. The implications suggest a chronic HIV epidemic with multiple prevention strategies needed.