How should expectant parents react when they learn that the pregnancy will quickly end with the birth of an extremely premature infant? These fragile infants—at the margins of viability—demand extremes of life-sustaining care that often require months in the neonatal intensive care unit (NICU) connected to tubes in various orifices. And after this protracted period of time, what sort of guarantee do the parents have that the infant will be fine? Or, if we suspect that the infant will not be fine, what drives parents to sustain and endure such an intense level of anguish? What rights does the voiceless premature infant have? Does the medical team have the authority to override the medical decisions made by the parents?