This book is about the psychological experiences of women and men who have used donor conception to create their families. The authors offer diverse accounts of their clinical, research, and personal experiences. They describe the challenge of powerful conscious and unconscious fantasies that can be aroused and how these may reawaken early anxieties and developmental struggles. Whilst recipients of donated eggs or sperm may think they are simply acquiring a factor of reproduction, they are also receiving the genetic history of another family. The sensitive management of these relationships is considered in relation to establishing healthy and well-functioning families. The way these emotional challenges are negotiated is likely to be reflected in how parents talk with children about their donor origins.