Cases like that of Lily and Dr. Deans bring to light the ethical dilemmas routinely faced by infertility doctors. While the donation of oocytes and embryos to women on advanced age is undeniably a charged issue, compelling arguments exist on both sides. Physicians are bound by ethics to uphold beneficence and nonmaleficence, and they must ensure the welfare of the child and the mother and protect their patients from harm. Women should be extensively counseled about the potential adverse health risks of pregnancy at an advanced age as well as the potential health risks to their future offspring