Obstetrics is a speciality dealing with two lives, closely linked, whose interests may not coincide. Due to rapid expansion of medical technology, obstetricians have to face complex ethical questions. Surrogacy has given a new dimension to the concept of a traditional family. Surrogacy offers hope to couples to produce their own genetic family. Fetal therapy is an exciting new field of expertise with expanding indications. The medical community is benefitted by these innovative therapies. The greatest care should be taken in explaining findings of congenital malformations to the parents, sympathetic approach, understanding and reassurance are important.