• Jesse Pollens-Voigt, Laura Taylor, and Adam Marks.
• Columbia University Vagelos College of Physicians and Surgeons (J.P-V.), New York, New York, USA. Electronic address: jgp2145@cumc.columbia.edu.
• J Pain Symptom Manage. 2024 Jan 1; 67 (1): e94e98e94-e98.

AbstractRequests for perimortem gamete procurement (PGP) typically arise by a surrogate decision maker after the unexpected death or incapacitation of a reproductive-aged individual. Palliative care clinicians should have a working knowledge of the medical, ethical, and practical considerations pertaining to such requests. In this paper, we describe a case in which the PGP request originated from an incapacitated patient's parents. We review the technologies associated with PGP and posthumous assisted reproduction (PAR) and discuss the ethical and legal issues involved in such cases, including recent position statements from national and international reproductive health groups. Finally, we provider readers with a stepwise approach for considering requests for PGP.Copyright © 2023 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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