This forum aims to provide updated information about In Vitro Fertilization (IVF) to lay readers who have infertility related problems from a uniquely qualified practitioner with advanced degree in reproductive medicine and has been serving as an IVF laboratory director for over twenty years. Discussion about new technologies that are currently available to aid infertility patients will be emphasized and explained and the availability of these new technologies provided. Current trends such as elective gender selection ( the determination of the gender of a baby through the use of IVF for both fertile and infertile patients) and the determination of the genetic health of the embryo before implanting it will be discussed as well as the technologies involved in such determinations. All IVF related issues are open for discussion including the efficacy of IVF in the older patient and options for treating recurrent pregnancy losses, miscarriages and male related problems that can be overcome through the use of IVF. The behind the scene aspect of IVF i.e. the laboratory or (the so-called black box) and how it impacts IVF success rates will be featured in this forum.