The start of 2023 provides renewed opportunity to reflect on future goals, personal relationships and family plans. The decision to have a child is a big step and the journey to parenthood can be long and complex, especially when it involves assisted conception. Furthermore, fertility treatment does not guarantee conception or delivery of a much-wanted child, with reducing prospects of success due to age-related fertility decline. This makes it important to plan ahead, make informed decisions and put together a viable action plan.