Haynes et al asserts that in 2019, Venus, a woman living in Canada with 1 child of her own, decided to carry a surrogate pregnancy for Justyn and Tru, a gay couple living in the United States. As ...often occurs with surrogate pregnancies, an agency facilitated the meeting of Justyn and Tru with Venus, managed the referral to the fertility clinic and provided assistance with legal documentation and payment of Venus' expenses. After egg and sperm donation, in vitro fertilization and confirmation of pregnancy, Venus' prenatal care was transferred to her family physician, who followed her until 28 weeks' gestation. She was then referred to a family physician with expertise in obstetrics for further prenatal care and childbirth. Although assisted reproductive pregnancies can have higher rates of complications, Venus' pregnancy proceeded without major medical concerns. Venus, Justyn and Tru dealt with unanticipated challenges and uncertainties throughout their surrogacy journey. I appreciated their ability to be flexible and to "go with the flow" at this stressful time.