The decision to start planning for a family is an exciting one, but that often brings many questions about how to optimize health for both mother and baby. Optimizing health starts during the preconception period, three to six months prior to conception. Current research suggests that decisions made just before and during pregnancy may determine a child’s health and determine long-term risk for a growing number of diseases. During the preconception period, we strive to enhance a woman’s health to optimize fertility outcomes.