The goal of a new study published in the Journal of Obstetrics and Gynecology Canada was to inform reproductive and other health care providers about pre-conception evaluation, including considerations for reproductive planning, lifestyle modification, immunization status and attitudes, and psychosocial issues. This effort was based on the presumption that counselling information can be used for patient education and planning and possible pre-conception and/or prenatal testing. Here, PubMed, Medline, and the Cochrane Database were searched through May 2017. From the results, it was inferred that the benefits for the patient and her family from receiving this pre-conception counseling would include an increased understanding of the relevant issues for both pre-conception and in early pregnancy as well as better pregnancy outcomes. Whereas, the cons of this counselling included potential increased anxiety or psychological stress associated with the possibility of identifying maternal pregnancy risks.