Although an in-depth discussion of legal issues related to same-sex parenting is beyond the scope of this article, we address this issue in order to underscore the stakes that are involved in the decision to become parents, especially in the aftermath of a reproductive loss in lesbian couples. In all couples who seek to become parents, although partners grapple with sadness and grief following a loss, questions of future childbearing may arise. For heterosexual couples, decisions to pursue parenthood are focused on the possibility of future pregnancies, the woman's reproductive health, and the likelihood of a subsequent loss. If pregnancy is not a possibility, avenues to parenthood may include adoption or surrogacy. For lesbian couples, legal constraints, especially questions of parental rights, complicate their path to parenthood.