This is the first study to explore the frequency of HIV testing amongst MSM in the UK. Half reported at least two HIV tests in the last 2 years, suggestive of annual testing, the minimum recommended in current UK guidelines 18. However, fewer than one in five reported having four or more tests in the last 2 years, which suggests that 6‐monthly testing is less common. The guidelines recommend that all men test annually and those at “higher risk” test up to every 3 months, but our findings suggest neither recommendation is being met. Among the HIV testers, more than half reported that their most recent test was part of a regular sexual health check and over one‐third tested in response to a perceived risk event. Regional, demographic and behavioural differences are worthy of attention and each will be considered in turn.