FIV-positive cats can live normal quality lives with appropriate management, but require welfare-focused veterinary care and informed owner support.
FIV-positive cats face welfare challenges primarily from secondary infections that become increasingly frequent as immunosuppression progresses. Oral disease is particularly common and causes significant chronic pain in many FIV-positive cats. Regular veterinary care with prompt treatment of secondary infections can maintain good quality of life for extended periods. The welfare decision of when to keep FIV-positive cats indoors balances the welfare benefits of outdoor enrichment against infection risk for the individual and transmission risk to other cats. With informed management, many FIV-positive cats maintain excellent quality of life for years, demonstrating that the diagnosis is not a welfare emergency but a management challenge.