Family physicians are unique because they are trained to treat every member of the family. The demands on their intellectual capabilities and educational devotion are tested as medical knowledge continues to expand. The application of this knowledge is complicated by the sheer number of diagnostics available and the limited time of interaction. Finally, the fragmentation and reconfiguration of households challenge these physicians to appropriately navigate new family dynamics. This month's issue explores the current and emerging challenges that will confront physicians in this family-oriented specialty.