We are currently seeing heightened levels of uncertainty and change around the world, ranging from economic challenges to seismic shifts in geopolitics and rapid developments in artificial intelligence, on-demand digital technology, genetics and DNA testing, precision healthcare and assisted reproduction. These can impact all stages of the life cycle from pre-conception through pregnancy, birth, family life and end-of-life care. This evolving landscape can create complex issues about family formation, personal identity, birth registration, legal and biological parenthood, genetic and health issues and relationships with family and relatives. In turn, this can require effective legal strategies to address issues about personal identity, genetic testing, legal and biological parentage, birth registration and family dynamics.