With the ever-changing landscape of modern American family life and the growing number of children being born via sperm or egg donors, the pendulum of public opinion toward this topic, once shrouded in secrecy, has swung toward acceptance and honesty. In the more than 50 years since the inception of assisted reproductive technology (ART), society has slowly adopted a more open and honest approach to telling donor-conceived children about their origin story, as research now shows that they do better in society knowing their biological roots.