Over the next ten to twenty years and beyond, the world will evolve rapidly to take account of powerful digital, artificial intelligence, genomic science, epigenetic and human reproductive revolutions. We will need to adopt an enlightened and multi-disciplinary approach as genetic medicine and science increasingly cross-cuts fertility treatment delivery. This will require a paradigm shift in our thinking, leadership and approach to law, policy and regulation. We will increasingly need new national and international legal frameworks and safeguards.