This paper summarizes the quantitative and qualitative exploratory research findings concerning the pastoral interventions undertaken by Australian health care chaplains when assisting patients and clinical staff involved in IVF procedures. Differences between staff and volunteer chaplains are noted as are the perspectives of chaplaincy informants regarding their involvement in IVF. Some possible reasons why chaplains may not be involved in IVF procedures are also suggested. Implications of this study with respect to chaplaincy utility, training and future research are noted.