It is fairly common for me to provide help in the ED area of ART.  Even when the participants include IM, IF, ED and a GS, the whole process can be fairly simple from a legal perspective.  Easy peasy as the Brits would say.

Just when you get complacent a fact pattern comes out of left field.  So we have an IM in her second marriage, an IF in his first with no children and the ED is IM's adult daughter. 

Obviously then, any child of this donation will be genetically related to the ED.  Not so obvious, however, is that the child and ED are also seen as sisters while being mother and daughter. 

Confused?  It is just getting interesting! 

You see, ART, especially ED, is new and there are very few ED children of adult age.  All of the possible reproductive variables have not yet been studied over time.  Thus, we have no way to predict the effect that such a donation will have on the participants.

Did the IM discuss this donation with the ED's father?  How will the IP's disclose the donation to the child and to what extent?  How will the ED or the child disclose their relationship to their respective life partners?   Finally, how do we practitioners protect our clients and patients today, for the potential issues which will arise tomorrow?