In 2023, we know that anonymity in gamete and embryo donation does not exist. Families connected through gamete donation often desire some contact down the line, even when they initially desire more distance. Updated family history can impact health management decisions. And donor-conceived individuals often have a desire to know more about their genetic identity. This webinar will provide practical tools (including best practices in mental health, genetic, and legal considerations) to assist clinics and agencies in modernizing their gamete and embryo donation programs to serve diverse populations, accounting for changes across multiple fronts since the advent of third-party reproduction.