Reproductive medicine is an ever-evolving field. Through clinical research, patient education and technological advancements couples who in the past may perhaps never otherwise had conceived or had the opportunity to experience a healthy full term pregnancy, will become parents. For many, Gabriela Rosa is the reason. I have known and worked closely with Gabriela for over twenty years and I have been privileged to witness first-hand the passion and devotion with which she approaches the care of her patients. Fertility Breakthrough is a compilation of over two decades of clinical experience in helping couples become parents. A must read for anyone who wishes to improve their chances of delivering a healthy baby.