All births change the dynamics of a family, sometimes in ways the parents never anticipated. The web of relationships multiplies in complex patterns of interaction. Roles of family members often shift with the addition of new needs, demands, and expectations. Parenting can be exciting and meaningful, but it is also hard work. Most parents endure the hard work because of the hopes and joys of watching their children grow and change and develop into people who in their turn will make their way in the world. Of course, it does not always turn out the way parents anticipated. Children do not always fulfill their parents’ expectations. But the hope can linger because it should be possible.