C. Everett Koop’s nomination as US Surgeon General by President Reagan was widely supported by members of the religious right and opposed by many women’s groups and liberal politicians who believed Koop’s strong Christian views and anti-abortion beliefs were not appropriate for the nation’s top health officer. But Dr. Koop disappointed his supporters when he acknowledged the rising HIV infection rate as a threat to public health. By the late 1980s, stigma against those with HIV/AIDS and the public’s misconceptions and fear over the disease was high. In 1988, Koop’s office mailed Understanding AIDS to every household in the United States in order to educate the public on how HIV was contracted and dispel many of the myths associated with HIV/AIDS. Koop came under fire for his bold and public discussion of sexuality and sexual practices and for explicitly advocating condom use as a way to prevent the spread of HIV.