Introduction Fertility treatments raise ethical questions, from embryo selection to surrogacy. How do Jewish values guide medical decision-making? Key Ethical Dilemmas Should we screen embryos for gender or intelligence? Halacha allows screening for disease prevention, but not for non-medical selection. What happens to “leftover” embryos after IVF? Some rabbis permit storing embryos, while others require implantation or ethical disposal. Is surrogacy acceptable in Jewish law? Permitted in some cases, but the child’s Jewish status may be debated. Balancing medical advancements with Jewish values requires thoughtful discussion between doctors, rabbis, and families.