A patient faced with a problem pregnancy may seek advice from her health care practitioner. If there is no medical reason for terminating the pregnancy, adoption should be discussed as an alternative to abortion. A medical care practitioner should refer a patient to an approved adoption agency if the patient wants to place the child for adoption. The medical care practitioner should be careful to avoid any conflict of interest in making this referral. No matter who pays the bills or arranges the care, the medical care practitioner’s duties are to the patient, not the agency or adoptive parents.