Infertility management through assisted reproductive technology (ART) has increased over several decades. Concerns have been expressed that the distress associated with infertility, to-ether with the medical and psychosocial demands of ART, may impact adversely oil subsequent family functioning. A review of current research, however, revealed few differences in parenting after ART, relative to natural conception families. The parenting characteristics identified (e.g. early, child-focused concerns, more protective attitudes and wan-nth in parenting) are best understood contextually, and do not appear to translate into differences, in ART-conceived children's psychosocial development compared with naturally conceived peers. While cultural factors differentiate some aspects of ART parent adjustment, the findings indicate that protective social factors combined with an investment in parenthood mitigate adverse outcomes. Further targeted research is required as little is known of family adjustment beyond childhood or following conception through newer and less traditional ART procedures. (C) 2004 Published by Elsevier B.V.