Purpose of the review Rare patients naturally control HIV replication without antiretroviral therapy. Understanding the mechanisms implicated in natural HIV control will inform the development of immunotherapies against HIV. Elite controllers (EC) are known for developing efficient antiviral T cell responses, but recent findings suggest that antibody (Ab) responses also play a significant role in HIV control. We review the key studies that uncovered a potent memory B cell response and highly functional anti-HIV Ab in EC, and explore the mechanisms that may account for the distinct properties of their humoral response. Recent findings EC maintain a large HIV-specific memory B cell pool that is sustained by efficient Tfh function. Neutralizing Ab rarely show high titers in controllers, but seem capable, at least in certain cases, of neutralizing contemporaneous viral strains. In addition, EC display a unique HIV-specific Ab profile in terms of isotype, antigen specificity, and glycosylation pattern, resulting in polyfunctional Ab effector functions that may promote infected cell lysis and prime effectors of the antiviral immune response.