Technology-based interventions are particularly promising because they can reach broad and diverse populations, enhancing accessibility while circumventing many of the race-, sexuality- and geography-based barriers that constrain traditional healthcare systems. This chapter positions HIV as a lens through which the transformative potential of technology-based health interventions for Black sexual minority men SMM can be understood. Although HIV remains a crucial backdrop that exposes long-standing inequities rooted in systemic racism, medical mistrust, and digital exclusion, the central focus is on how technological innovation can reimagine engagement, care, and empowerment for Black SMM across the life course. An Intersectionality lens is added to a Life Course framework to describe how the evolving digital landscape offers new opportunities for responsive age- and context-specific strategies. Although the primary focus of this chapter is on the U.S. context, the discussion also considers the broader implications for global Black SMM communities, underscoring how digital innovations can inform transnational approaches to health equity and social justice. The chapter highlights a spectrum of digital modalities, including mHealth platforms, web-based applications, and geospatial networking tools, that move beyond traditional HIV prevention to foster broader health equity and sustained engagement in care. Evidence illustrates that interactive and culturally grounded technologies enhance PrEP adherence, risk reduction, and service linkage, while also serving as vehicles for social connection, identity affirmation, and stigma reduction. These and other innovations demonstrate how digital technologies can disrupt historical barriers and promote health justice for this group. Positioned within the structural realities that HIV brings into focus, technology emerges not merely as a tool for disease prevention, but as a catalyst for reimagining health trajectories and advancing equity for Black SMM. This reframing underscores the promise of technology as both a site and a strategy for transformative, intersectional, and life course–oriented health interventions.