Abstract
The theoretical concept of in vitro fertilization has become a clinical reality. This is not to say that there are no unsolved problems with the technique. On the contrary, the variables in the process are many, teamwork of persons with different talents is essential, careful attention to detail is required, and success is often elusive. Despite the vagaries of in vitro fertilization, there has been a remarkable proliferation of programs to carry it out. This speaks on one hand to the demand for help in overcoming infertility and on the other to the willingness of the specialty to embrace new challenges. It would be contrary to experience and therefore naive to expect that all programs will quickly achieve an acceptable viable pregnancy rate. Realism makes it necessary only to hope that the great majority of programs will succeed and to express the additional hope that those who encounter insurmountable obstacles
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