Introduction: Secrecy and confidentiality of the information of the main patients are important in the medical profession. This has been a major challenge in patients with acquired latent impairment. However, the ethical aspects of protecting individual rights in relation to other people are very important to patients. Therefore, in this study, a case has been introduced with the ethical challenge of protecting the patient's patient with acquired immunodeficiency in the hospital by the medical staff. Case Report: A 44-year-old patient hospitalized in the urological part of the kidney stone. The patient was infected with two HIV-positive and hepatitis B deficiencies, and, knowing the other people in the hospital and failing to keep the secrets by the custodian, caused her dismay and disgrace, and after the cessation, treatment and surgery of the crusher from the hospital With your consent. Conclusion: The ethical challenge we face in this study is to protect the confidentiality of the patient from the principles of autonomy or autonomy, and on the other hand, because of the fatalities of these diseases, informing and maintaining the safety of the other treatment team is also very necessary. Be As a result of the solution, it is a secret to the staff and labels on the patient's case. Keywords: , Professional Ethics, HIV, Ethical Challenge, Acquired Impairment