Combining attention to lived experience with the critical tools of ethics, Karey Harwood explores why many women who use high-tech assisted reproduction methods tend to use them repeatedly, even when the results are unsuccessful. With a compassionate look at the individual decision making behind the desire to become pregnant and the use of assisted reproductive technologies (ART), Harwood extends the public conversation beyond debates about individual choice by considering the experiences of families and by addressing the broader ethical problems presented by these technologies.