REPRODUCTIVE ENDOCRINOLOGY: Edited by Ruben AlveroConsenting and ethical considerations in embryo cryopreservationKhorshid, Arianb; Alvero, RubenaAuthor Information aFertility and Reproductive Health, Division of Reproductive Endocrinology bDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California Correspondence to Ruben Alvero, MD, Fertility and Reproductive Health, 1195 West Fremont Avenue, Suite 1301, Sunnyvale, CA 94087, USA. Tel: +1 650 498 7911; fax: +1 669 233 2869; e-mail: email@example.com Current Opinion in Obstetrics and Gynecology: October 2020 - Volume 32 - Issue 5 - p 380-384 doi: 10.1097/GCO.0000000000000653 Buy Metrics Abstract Purpose of review An emerging body of literature has elucidated the growing burden of surplus embryos left in storage without any clear disposition. An out dated consent process is a significant but easily remedied contributor to this problem. We propose a novel approach to consenting for disposition of surplus embryos. Recent findings Decisional conflicts that stem from the moral status of embryos and from evolving personal values contribute to surplus embryos being left in storage. Barriers to donation of embryos to research or to other patients also discourage embryo disposition decisions. A flawed informed consent process compromises the physician--provider relationship and complicates decision-making. Summary Centralizing the process of donating embryos to research and to patients would lower barriers to these disposition options. The informed consent protocol must be redesigned as a longitudinal, narrative process compatible with the evolving values and fertility outcomes of patients. Counselors should be integrated into all discussions regarding embryo disposition from the onset of fertility treatment through its conclusion to facilitate the decision-making process. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.